ArticleFrontiers in medicine2026
Bronchoscopy-guided non-capping decannulation pathway versus conventional capping trial in patients with prolonged tracheostomy: a retrospective comparative cohort study.
Article in Frontiers in medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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8 authors.
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Abstract
Background: Tracheostomy decannulation is commonly guided by capping trials that assess functional tolerance but do not directly evaluate airway anatomy. Whether a bronchoscopy-guided, non-capping decannulation pathway offers comparable safety with efficiency remains uncertain. Methods: We conducted a retrospective comparative cohort study of adults with prolonged tracheostomy (≥ 4 weeks) between 2023 and 2025 at a tertiary center. Patients underwent either a bronchoscopy-guided non-capping pathway ( Results: Eighty-one patients were analyzed. The non-capping group was older and had lower hemoglobin levels. Decannulation failure occurred in 4.3% of patients managed with the non-capping pathway and 20.7% with conventional capping ( Conclusion: In this single-center observational study, the non-capping pathway was associated with a shorter time to decannulation without an apparent increase in short-term safety events. These findings suggest a direct anatomical non-capping pathway may be a feasible alternative, although this requires further validation.
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