Complications of Tracheostomy

Glas, W. W.; King, O. J.; Lui, Adrienne

doi:10.1001/archsurg.1962.01310010060008

Cited by 76 publications

(19 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The excessive swallowing of air was caused possibly by the pressure of the tube on the esophagus with constant attempts to “swallow the foreign body.” Unfortunately, no postmortem examination was obtained in this case. Such a complication was also reported by Glass et al (11).…”

Section: Resultssupporting

confidence: 82%

See 1 more Smart Citation

Tracheostomy in Acute Respiratory Failure: Effects Assessed by Arterial Blood Gases

Neufeld

Anagnost

Navarre

et al. 1968

J American Geriatrics Society

View full text Add to dashboard Cite

The effects of tracheostomy in 27 patients with severe respiratory difficulty are described in terms of arterial blood gas values and clinical observations. Postoperatively, mouth breathing was compared with tracheostomy breathing. Obstruction of the lower respiratory tract from accumulated secretions leads to hypoventilation, ineffective coughing, carbon dioxide retention, anoxia and coma. In such cases, tracheostomy may be life‐saving because it provides a reliable pathway: a) for suctioning the secretions (which may be unusually abundant in emphysema with bronchitis), and b) for the administration of artificial respiration. An important factor in the outcome of tracheostomy is meticulous postoperative care. Attention to such things as proper tube alignment and proper suctioning techniques goes a long way toward preventing possible mucosal damage and infection. Tracheostomy provides therapeutic relief even to patients who are gravely ill (narcosis, coma) with emphysema and bronchitis.

show abstract

Section: Resultssupporting

confidence: 82%

“…Unfortunately, no postmortem examination was obtained in this case. Such a complication was also reported by Glass et al (11).…”

supporting

confidence: 81%

Tracheostomy in Acute Respiratory Failure: Effects Assessed by Arterial Blood Gases

Neufeld

Anagnost

Navarre

et al. 1968

J American Geriatrics Society

View full text Add to dashboard Cite

show abstract

“…Tracheo-oesophageal Fistula.-Two patients (I -3 per cent) developed tracheo-oesophageal fistula; another patient in this group who died between extubation and the 3-week follow-up examination was found to have a fistula at autopsy. Other authors (Glas, King, and Lui, 1962;Crosby, 1964;Barge and Slawson, 1965;Stiles, 1965;Flege, 1967;Hedden, Ersog, and Safar, 1969) have reported a similar incidence of this well-recognized complication of tracheostomy and assisted ventilation.…”

Section: Discussionmentioning

confidence: 88%

The incidence and pathogenesis of tracheal injury following tracheostomy with cuffed tube and assisted ventilation analysis of a 3-year prospective study

Andrews

1971

Journal of British Surgery

View full text Add to dashboard Cite

Observations are reported from a 3‐year prospective study of tracheal injury occurring in patients managed by cuffed‐tube tracheostomy and assisted ventilation in the Respiratory Failure Unit at Toronto General Hospital. When the cuffed tracheostomy tube was finally removed an initial bronchoscopic examination of the trachea was performed. Further clinical and radiological assessments were made 3 weeks and 3 months later, using bronchoscopy when indicated. The incidence of symptomatic tracheal stenosis in 153 patients studied was 21 per cent. Of these strictures, 18 occurred at the level of the tracheostome and 14 at the level of the inflatable cuff. Disability due to airway obstruction was severe in 18 and mild in 14 patients. These mild lesions might easily have remained undetected. Two patients with severe strictures died of airway obstruction before treatment could be instituted, a mortality of 6·2 per cent in patients developing strictures. The remaining 30 strictures required treatment either by dialtation alone or by dilatation and resection of the stricture with tracheal reanastomosis. Two of the 153 patients studied developed chronic tracheo‐oesophageal fistulas. The observations indicate that stenosis can be anticipated before the lesion has developed by the finding of circumferential mucosal ulceration or segmental collapse at the initial per stomal bronchoscopy. Observations from the study prompted the following changes in technique:‐ 1. A modification of the connexions between the tracheostomy tube and the respirator, with a subsequent reduction in symptomatic stenosis at the stomal level. 2. A reduction in the diameter of tracheostomy tubes. 3. A search for a less injurious inflatable cuff. The conclusions reached by this study were as follows:– 1. Tracheostomy tubes of large diameter predispose to the development of strictures at the level of the tracheostome in male patients. 2. The presence of airway infection predisposes to stomal stenosis, and probably to cuff stenosis. 3. Cuff strictures are commoner in female patients than in male patients. 4. Age and pre‐existing lung disease may be important in the production of stomal stenosis. 5. The use of a deliberate routine follow‐up examination to evaluate tracheal injury following tracheostomy and assisted ventilation is a necessary undertaking.

show abstract

“…Tracheostomy is a commonly performed operation, often falling under the purview of junior surgeons. Yet it is an operation accompanied by a formidable list of complications, some fatal (Blair, 1987;Chew and Cantrel, 1972;Glas et al, 1962;Meade, 1961). T h e list of complications continues to grow as case reports are added annually.…”

Section: Introductionmentioning

confidence: 99%

Tracheostomy: An anatomico‐clinical review

Ger

Evans

1993

Clinical Anatomy

View full text Add to dashboard Cite

Tracheostomy surgery may be accompanied by complications that lead to morbidity and mortality. The incidence of these complications is not inconsiderable, as documented by case reports that continue to appear annually. Most complications are based on failure to appreciate the anatomic relationships of the area. In an operation that often falls to the lot of the junior surgeon and that deals with normal anatomic structures, it is disappointing to find that the surgeon gets little help when consulting clinical anatomic texts. In fact, the advice given may be erroneous, indefinite, or even misleading. It is strongly urged that a tracheostomy education program be instituted at the clinical anatomic level.0 1993 Wiley-Liss, Inc.

show abstract

Complications of Tracheostomy

Cited by 76 publications

References 3 publications

Tracheostomy in Acute Respiratory Failure: Effects Assessed by Arterial Blood Gases

Tracheostomy in Acute Respiratory Failure: Effects Assessed by Arterial Blood Gases

The incidence and pathogenesis of tracheal injury following tracheostomy with cuffed tube and assisted ventilation analysis of a 3-year prospective study

Tracheostomy: An anatomico‐clinical review

Contact Info

Product

Resources

About