Frequency of Various Complications of Tracheostomy in Patients
DOI:
https://doi.org/10.70749/ijbr.v3i3.1947Keywords:
Complications, tracheostomy, indication, incidenceAbstract
Objective: To determine the frequency of various complication rate of tracheostomy and outlining the common indications and outcome of patients with tracheostomy in a tertiary care hospital of Karachi. Study Design: Descriptive longitudinal study. Place and Duration of Study: Department of Otorhinolaryngology (ENT) / Head and Neck Surgery, Dow International Medical College, Dow University of Health Sciences, Karachi, from January 2024 to June 2024. Materials and Methods: This study included A total of 97 patients of both genders underwent for either elective or emergency tracheostomy had age 18 – 65 years. All tracheostomies were performed by senior Otolaryngologist in the operation theater using open surgical technique under local or general anesthesia, transverse skin incision was given in elective cases and vertical skin incision in emergency cases. All patients were followed for 7 days to assess the complications. The data was analyzed with the help of SPSS version 26. Mean and standard deviation was calculated for quantitative variables and frequency and percentages were calculated for qualitative variables. Results: The different complications observed and were divided into immediate (occurring within 24 hours), early (within 7 days) and late (after 7 days). The immediate complications were tube obstruction 9 (9.3%), stomal and wound infection in 4 (4.1%) cases and emphysema 19 (19.6%) cases, early complications were bleeding 59 (60.8%) and apnea 10 (10.3%) and late complications were tracheal stenosis 1 (1.03%) and difficult decannulation 8 (8.2%). Conclusion: In the current study, emergency tracheostomies had a higher overall rate of complications. The most frequent consequence seen was bleeding.
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References
1. Iqbal H, Rizwan A, Tehsinul Hassan. Incidence of complications in emergency tracheostomy in adult patients. Pak J Med Health Sci. 2012;6(2):381-83.
2. Ruohoalho J, Xin G, Back L, Aro K, TapiovaaraL. Tracheostomy complications in otorhinolaryngology are rare despite the critical airway. Eur Arch ENT. 2021;278;4519-23.
https://doi.org/10.1007/s00405-021-06707-7
3. Kawale MA, Keche PN, Gawarle SH, Bhat SV, Buche A. A prospective study of complications of tracheostomy and management in tertiary care hospital in rural area. Int J Otorhinolaryngol Head Neck Surg 2017;3:687-92.
https://doi.org/10.18203/issn.2454-5929.ijohns20173048
4. Lee M, Wilson H. Complications of tracheostomy. Shanghai Chest. 2021;5:42.
https://doi.org/10.21037/shc-21-21
5. Alabi BS, Afolabi OA, Dunmade AD, Omokanye HK, Ajayi IO, Ayodele SO, Busari NO. Indications and outcome of tracheostomy in Ilorin, North Central Nigeria: 10 years review. Ann Afr Med. 2018;17(1):1–6.
https://doi.org/10.4103/aam.aam_130_16
6. Lipton G, Stewart M, McDermid R, Docking R, Urquhart C, Morrison M, et al. Multispecialty tracheostomy experience. Ann R CollSurg Engl. 2020;102:343-47.
https://doi.org/10.1308/rcsann.2019.0184
7. Khaja M, Haider A, Alapati A, Qureshi ZA, Yapor LJC. Percutaneous tracheostomy: A bedside procedure. 2022;14(4)
https://doi.org/10.7759/cureus.24083
8. BathulaSS, SrikanthaL, Patrick T, Stern NA. Immediate postoperative complications in adult tracheostomy. Cureus. 2020;12(12).
https://doi.org/10.7759/cureus.12228
9. Chavan RP, Ingole SM, Mane B, Kalekar TM, Birajdar SN. Tracheostomy: Experience at Tertiary Hospital. Indian J Otolaryngol Head Neck Surg. 2019;71(Suppl 1):S580-S84.
https://doi.org/10.1007/s12070-018-1417-1
10. Wahla AS, Mallat J, Zoumot Z, Shafiq I, De Oliveira B, Uzbeck M, et al. Complications of surgical and percutaneous tracheostomies, and factors leading to decannulation success in a unique Middle Eastern population. 2020;15(7):e0236093
https://doi.org/10.1371/journal.pone.0236093
11. Akhlaq M, Ahmad W, Ali MM, Sarwar MM, Naeem M, Khan FN. Comparison of early complications of elective tracheostomy with early complications of emergency tracheostomy. Pak J Med Health Sci. 2020;14(1):648-50.
12. Gupta VK, Malhotra A, Mamik HK, Latawa A, Kalra G, Gupta S. Percutaneous Dilatational Tracheostomy: Experience of 100 Cases at a Tertiary Care Centre. Ind J Surg. 2021;83:91-5. https://doi.org/10.1007/s12262-020-02300-0
13. Gupta S, Tomar DS, Dixit S, Zirpe K, Choudhry D, Govil D, et al. Dilatational Percutaneous vs Surgical TracheoStomy in IntEnsive Care UniT: A Practice Pattern Observational Multicenter Study (DISSECT). Indian J Crit Care Med. 2020 Jul;24(7):514-526.
https://doi.org/10.5005/jp-journals-10071-23441
14. TakharA, Tornari C,Amin N, Wyncoll D, Tricklebank S,AroraA, et al. Safety and outcomes of percutaneous tracheostomy in coronavirus disease 2019 pneumonitis patients requiring prolonged mechanical ventilation. The Journal ofLaryngology&Otology. 2020; 134(11): 961-70.
https://doi.org/10.1017/s0022215120002303
15. Brass P, Hellmich M, Ladra A, Ladra J, Wrzosek A. Percutaneous techniques versus surgical techniques for tracheostomy. Cochrane Database Syst Rev. 2016 Jul 20;7(7):CD008045.
https://doi.org/10.1002/14651858.cd008045.pub2
16. Mehta AK, Chamyal PC. Tracheostomy Complications and Their Management. Med J Armed Forces India. 1999 Jul;55(3):197-200.
https://doi.org/10.1016/s0377-1237(17)30440-9
17. Nyanzi DJ, Atwine D, Kamoga R, Birungi C, Nansubuga CA, Nyaiteera V, Nakku D. Tracheostomy-related indications, early complications and their predictors among patients in low resource settings: a prospective cohort study in the pre-COVID-19 era. BMC Surg. 2023 Mar 18;23(1):59.
https://doi.org/10.1186/s12893-023-01960-5
18. Alabi BS, Afolabi OA, Busari NO. Indications and outcomeof tracheostomy in Ilorin, North central Nigeria: 10 years review. Ann Afr Med. 2018;17(1):1–6
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