Early complications of tracheostomy: a study on 100 patients at a single tertiary care centre

Authors

  • Pooja Pal Department of Otolaryngology and Head Neck Surgery, SGRD Institute of Medical Sciences and Research, Vallah, Amritsar, Punjab
  • Arvinder Singh Sood Department of Otolaryngology and Head Neck Surgery, SGRD Institute of Medical Sciences and Research, Vallah, Amritsar, Punjab
  • Sumant Singla Department of Otolaryngology and Head Neck Surgery, SGRD Institute of Medical Sciences and Research, Vallah, Amritsar, Punjab

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20175628

Keywords:

Tracheostomy, Early complications, Bleeding

Abstract

Background: Tracheostomy is a life saving procedure, which when performed correctly greatly impacts the final outcome of the patient. Although uncommon, fatal complications have been known to occur. The present study was conducted to observe the incidence of early complications of tracheostomy in a tertiary care centre.

Methods: 100 consecutive patients subjected to tracheostomy were enrolled, and data pertaining to the indication, and intraoperative and early postoperative complications was collected.  

Results: The overall incidence of complications was 77%, with 53% cases of intraoperative bleeding and 13% tube obstruction. A higher incidence of complications was noted in emergency procedures and pediatric tracheostomies. No mortality was seen in the present series.

Conclusions: Serious complications may be associated with tracheostomies, many of which can be avoided by meticulous surgical technique and postoperative care.

Metrics

Metrics Loading ...

Author Biographies

Pooja Pal, Department of Otolaryngology and Head Neck Surgery, SGRD Institute of Medical Sciences and Research, Vallah, Amritsar, Punjab

Associate Professor, Department of Otolaryngology and Head Neck Surgery

Arvinder Singh Sood, Department of Otolaryngology and Head Neck Surgery, SGRD Institute of Medical Sciences and Research, Vallah, Amritsar, Punjab

Professor and Head, Department of Otolaryngology and Head Neck Surgery

Sumant Singla, Department of Otolaryngology and Head Neck Surgery, SGRD Institute of Medical Sciences and Research, Vallah, Amritsar, Punjab

Senior Resident, Department of Otolaryngology and Head Neck Surgery

References

Itamoto CH, Lima BT, Sato J, Fujita RR. Indications and complications of tracheostomy in children. Braz J Otorhinolaryngol. 2010;76(3):326-31.

Leyn De P, Bedert L, Delcroix M, Depuydt P, Lauwers G, Sakolov Y, et al. Tracheotomy: clinical review and guidelines. Eur J Cardiothorac Surg. 2007;32:412-21.

Tokur M, Kurkcuoglu IC, Kurul C, Dermican S. Synchronous bilateral pneumothorax as a complication of tracheostomy. Turkish Respiratory J. 2006;7(2):84-5.

Trottier SJ, Hazard PB, Sakabu SA, Levine JH, Troop BR, Thompson JA. Posterior tracheal wall perforation during percutaneous dilatational tracheostomy. Chest. 1999;115:1383-9.

Crysdale WS, Feldman RI, Naito K. Tracheostomies: a 10 year experience in 319 children. Ann Otol Rhinol Laryngol. 1998;97:439-43.

Kremer B, Boto Kremer Al, Eckel HE. Indications, complications and surgical techniques for pediatric tracheostomies–an update. J Pediatr Surg. 2002;37:1556-62.

Gilyoma JM, Balumuka DD, Chalya PL. Ten year experiences with tracheostomy at a university teaching hospital in northwestern Tanzania: a retrospective review of 214 cases. World J Emerg Surg. 2011;6:38.

Hamid AA, Sattar F, Shaheen, Khan NS, Zakirullah. Complications of tracheostomy. J Postgrad Med Inst. 2009;18:385-90.

Hsu CL, Chen KY, Chang CH, Jerng JS, Yu CJ, Yang PC. Timing of tracheostomy as a determinant of weaning success in CI patients. Crit Care. 2005;9(1):46-52.

Patel A, Swan P, Dunning J. Does a percutaneous tracheostomy has a lower incidence of complications compared to an open surgical technique? Interact Cardiovasc Thorac Surg. 2005;4:563-8.

Eziyi Josephine Adetinuola Ajibola AY, Olanrewaju MI, Oyedotun AA, Timothy OO, Alani AS, Adekunle A. Tracheostomy in south western Nigeria: any change in pattern? J Med Med Sci. 2011;2(7):997-1002.

Suslu N, Ermutlu G, Akyol U. Pediatric tracheostomy: comparison of indications and complications between children and adults. Turkish J Ped. 2012;54:497-501.

Glas WW, King OJ, Lui A. Complications of tracheostomy. Arch Surg. 1962;83:56-63.

Smith DK, Grillone GA, Fuleihan N. Use of postoperative chest x-ray after elective adult tracheostomy. Otolaryngol Head Neck Surg. 1999;120(6):848-51.

Feller-Kopman D. Acute complications of artificial airways. Clin Chest Med. 2003;24:445-55.

Orringer MB. Endotracheal intubation and tracheostomy. Indications, techniques and complications. Surg Clin North Am. 1980;60:1447-64.

Trottier SJ, Ritter S, Lakshmanan R, Sakabu SA, Troop BR. Percutaneous tracheostomy tube obstruction: warning. Chest. 2002;122(4):1377-81.

Khan FA, Ashrafi SK, Iqbal H, Sohail Z, Wadood. Operative complications of tracheostomy. Pak J Surg. 2010;26(4):308-10.

Skaggs JA. Tracheostomy: management, mortality and complications. Am Surg. 1969;35:393-6.

Waldron J, Padgham ND, Hurley SE. Complications of emergency and elective tracheostomy: a retrospective study of 150 consecutive cases. Ann R Coll Engl. 1990;72(4):218-20.

Downloads

Published

2017-12-22

How to Cite

Pal, P., Sood, A. S., & Singla, S. (2017). Early complications of tracheostomy: a study on 100 patients at a single tertiary care centre. International Journal of Otorhinolaryngology and Head and Neck Surgery, 4(1), 217–221. https://doi.org/10.18203/issn.2454-5929.ijohns20175628

Issue

Section

Original Research Articles