Advertisement

Tracheostomy: Experience at Tertiary Hospital

  • Reshma P. ChavanEmail author
  • Shivraj M. Ingole
  • Balaji Mane
  • Tushar M. Kalekar
  • Santosh N. Birajdar
Original Article

Abstract

An attempt was made to find indications of tracheostomy procedure and its complications in the modern era of medicine with refined surgical techniques at a tertiary hospital. A retrospective study of 240 patients, who had undergone tracheostomy, was done during the period from January 2013 to April 2017 at Govt. Medical College Hospital. Various details of all participants such as age and sex of patients, detailed history of the current disease, and detailed information about tracheostomy and complications were recorded. In the present study, the most common indication for tracheostomy was prolonged ventilation due to Organophosphorus poisoning and Snake bite. The complication rate for tracheostomy procedure was 11.5%. The most common complication was tubal occlusion (7.5%) followed by Granulations around stoma (2.5%), Tracheal stenosis (1.25%), tracheoesophageal fistula (0.4%). No death was occurred during the tracheostomy procedure. The morbidity and mortality due to tracheostomy are reduced definitely. Tracheostomy Complications can be prevented by refined surgical techniques, use of high volume low pressure cuffed tracheostomy tubes and attentive post-operative nursing care. Yet complications of tracheomalacia and tracheal stenosis call for further improvement.

Keywords

Tracheostomy Tracheal stenosis Complications Organophosphorus poisoning 

Notes

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Approval

Ethical Approval was taken by Institutional Ethical Board as per ICMR guidelines by letter no. Pharma Dept/IEC/Approval letter/68/18.

Informed consent

Informed consent was obtained from all individual participants included in the study.

References

  1. 1.
    Klingbeil G (1988) Airway problems in patients with traumatic brain injury. Arch Phys Med Rehabil 69:493–495PubMedGoogle Scholar
  2. 2.
    Heffner JE, Miller KS, Sahn SA (1986) Tracheostomy in the intensive care unit Part 2: Complications. Chest 90(3):430–436.  https://doi.org/10.1378/chest.90.3.430 CrossRefPubMedGoogle Scholar
  3. 3.
    Crysdale WS, Fieldman RI, Natio K (1988) Tracheostomies: a 10 year experience in 319 children. Ann Otol Rhinol Laryngol 97:439–443CrossRefGoogle Scholar
  4. 4.
    Goldenberg D et al (2000) Tracheostomy complications: a retrospective study of 1130 cases. Otolaryngol Head Neck Surg 123:495–500CrossRefGoogle Scholar
  5. 5.
    ManoukianJ Zeitouni A (1993) Tracheostomy in the first year of life. J Otolaryngol 22:431–434Google Scholar
  6. 6.
    Ting JY, Plowman EK, Belafsky PC, Harbarger CF, Postma GN et al (2012) A multi-institutional analysis of tracheotomy complications. Laryngoscope 122:38–45CrossRefGoogle Scholar
  7. 7.
    Costa L, Matos R, Júlio S, Vales F, Santos M (2016) Urgent tracheostomy: four-year experience in a tertiary hospital. World J Emerg Med 7(3):227–230.  https://doi.org/10.5847/wjem.j.1920-8642.2016.03.011 CrossRefPubMedPubMedCentralGoogle Scholar
  8. 8.
    Sarper A, Ayten A, Eser I, Ozbudak O, Demircan A (2005) Tracheal stenosis after tracheostomy or intubation: review with special regard to cause and management. Texas Heart Inst J 32(2):154–158Google Scholar
  9. 9.
    El Solh AA, Jaafar W (2007) A comparative study of the complications of surgical tracheostomy in morbidly obese critically ill patients. Crit Care 11(1):R3.  https://doi.org/10.1186/cc5147 CrossRefPubMedPubMedCentralGoogle Scholar
  10. 10.
    Adoga AA, Ma’an ND (2010) Indications and outcome of pediatric tracheostomy: results from a Nigerian tertiary hospital. BMC Surg 10:2.  https://doi.org/10.1186/1471-2482-10-2 CrossRefPubMedPubMedCentralGoogle Scholar
  11. 11.
    Aass AS (1975) Complications to tracheostomy and long-term intubation: a follow-up study. Acta Anaesthesiol Scand 19(2):127–133CrossRefGoogle Scholar
  12. 12.
    Stauffer TL, Olson DE, Petty T (1981) Complications and consequences of endotracheal intubation and tracheotomy: a prospective study of 150critically ill patients. Am J Med 70(1):65–76CrossRefGoogle Scholar
  13. 13.
    Imperatore F, Diurno F, Passannanti T et al (2004) Early and late complications after elective bedside surgical tracheostomy: our experience. Medscape Gen Med 6(2):32Google Scholar
  14. 14.
    Klemm E, Nowak AK (2017) Tracheotomy-related deaths. Dtsch Arztebl Int 114(16):273–279.  https://doi.org/10.3238/arztebl.2017.0273 CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© Association of Otolaryngologists of India 2018

Authors and Affiliations

  • Reshma P. Chavan
    • 1
    Email author
  • Shivraj M. Ingole
    • 2
  • Balaji Mane
    • 1
  • Tushar M. Kalekar
    • 3
  • Santosh N. Birajdar
    • 1
  1. 1.Department of ENTDr. VMGMCSolapurIndia
  2. 2.Department of RadiologyGGMC and Sir J.J group of HospitalsMumbaiIndia
  3. 3.Department of RadiologyD.Y. Patil Medical CollegePuneIndia

Personalised recommendations