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

Pal, Pooja; Ak, Sood; Singla, Sumant

doi:10.18203/issn.2454-5929.ijohns20175628

Cited by 5 publications

(5 citation statements)

References 8 publications

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“…In immediate complications, the complication seen the most in the present study was tube dislodgement among four patients (V=1, H=3), similar to findings by Glossop et al [17], and Pal et al [18] This could be due to the procedure being done in bedridden, elderly patients who were unable to take care of the tracheostomy tube by themselves or due to the non-sutured neck tie to skin [19].…”

Section: Discussionsupporting

confidence: 88%

Impact of Vertical and Horizontal Skin Incisions on Outcome Measures in Tracheostomies

Sidam,

Nasi,

Gupta

et al. 2024

Cureus

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Tracheostomy is a life-saving procedure in which an opening is created in the anterior wall of the trachea. Different skin incision types are administered in tracheostomy procedures, predominantly vertical and horizontal. Various literature on the skin incision types in tracheostomy had contradictory findings, with different studies observing that one skin incision type had better outcomes than its counterpart. Hence the objective of this study was to compare the outcomes associated with vertical and horizontal skin incisions in patients undergoing tracheostomy. MethodThe present study assessed the outcome measures between the two incision types (vertical and horizontal) in tracheostomy. A prospective longitudinal study was done based on an academic tertiary hospital in Bhopal, Madhya Pradesh. Participants above 18 years who underwent tracheostomy were enrolled in the study and followed up over six months during intraoperative, immediate, within seven days, and long-term periods. ResultIn intraoperative complications, bleeding was most common (n = 15, 16.7%), followed by passage of tube into false tract (n = 6, 6.7%) and saturation drop (n = 2, 2.2%). Immediate complications comprised T-tube blockage (n = 4, 4.4%) and bleeding (n = 1, 1.1%). Complications within seven days occurred only in the horizontal group in which stomal site ulceration (n = 4, 6.7%) and delayed bleeding (n = 2, 3.3%) was seen, and one participant had unintended decannulation. In the long term, complications observed were stomal granulation (n = 9, 19.1%), dysphagia (n = 7, 14.9%), and unintended decannulation (n = 4, 8.5%). ConclusionIn the current study, the most common intraoperative complication was bleeding, the immediate complication was tube dislodgement, and tracheostomy site ulcer was the most common complication within seven days, similar to the literature findings.

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Section: Discussionsupporting

confidence: 88%

Impact of Vertical and Horizontal Skin Incisions on Outcome Measures in Tracheostomies

Sidam,

Nasi,

Gupta

et al. 2024

Cureus

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“…Early problems occurred more often (30.35%) in emergency tracheostomies than in elective procedures (8.92%); these results were not very different from our findings. In research [ 17 ], emergency tracheostomies are more likely to result in complications than elective ones.…”

Section: Discussionmentioning

confidence: 99%

Comparison Between Complications of Elective and Emergency Tracheostomies

Natasha,

Khurshied,

Zahid

et al. 2023

Cureus

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Introduction Tracheostomy, although a common surgical procedure, is associated with potential complications. Complications can be avoided with accurate technique and proper operative and postoperative care. A surgeon should know the complications of the procedure and how to avoid them so that complications may be prevented or minimized. Objective To determine the frequency of complications in patients undergoing elective and emergency tracheostomies. Methods The cross-sectional study was conducted at the Department of Otorhinolaryngology - Head and Neck Surgery, and Intensive Care Unit (ICU) of PIMS Hospital, Islamabad, from March 1 to August 31, 2023, with a total duration of six months. A total of 110 patients admitted to the ICU and presented in an emergency falling within the inclusion criteria were counted in the study. Patients were split into two groups, i.e., elective tracheostomy (group A) and emergency tracheostomy (group B). All patients were followed for three months for adverse events related to the tracheostomy. All information was collected on Proforma and analyzed using the SPSS 23 version (IBM Corp., Armonk, NY). Results The mean age of participants was 48.47±12.68 years in group A and 49.54±10.99 years in group B (p=0.636). 40 (72.7%) and 37 (67.3%) patients were male and 15 (27.3%) and 18 (32.7%) female in groups A and B, respectively. The results of post-operative complications in both groups A and B were observed, respectively, for surgical emphysema (2 [3.6%] vs. 5 [9.1%], p=0.241), hemorrhage (2 [3.6%] vs. 4 [7.3%], p=0.401), wound infection (3 [3.6%] vs. 6 [10.9%], p=0.279), tube blockage (0 [0.0%] vs. 1 [1.8%], p=0.315), tube displacement (0 [0.0%] vs. 3 [5.5%], p=0.079), and tracheoesophageal fistula (0 [0.0%] vs. 2 [3.6%], p=0.154). The overall complications in elective tracheostomies were 7 (12.7%) and in emergency tracheostomies were 21 (38.2%). Conclusion We concluded that patients who had an emergency tracheostomy experienced more postoperative complications than those who underwent an elective tracheostomy.

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“…Previous studies have found that the rate of complications is higher with emergency tracheostomy as compared with elective tracheostomy. [13][14][15][16][17] This pattern of increased rate of complications with emergency tracheostomy has been observed in immediate complications as well as early and late complications. 18 Moreover, postoperative bleeding (hemorrhage) has been found to be among the most common early postoperative complication as reported by Francois et al 19 .…”

Section: Discussionmentioning

confidence: 99%

Comparison of Outcomes between Elective Tracheostomy versus Emergency Tracheostomy

Khan¹,

Rashid²,

Samee³

et al. 2021

PJMHS

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Aim: To compare the frequency of early postoperative complications of elective tracheostomy and emergency tracheostomy. Study design: Comparative/observational study Place and duration of study: Department of ENT/Head & Neck Surgery, Mayo Hospital Lahore from 1st July 2012 to 31st December 2012. Methodology: One hundred patients of both genders undergoing tracheostomy were enrolled. All the patients were divided equally in two groups; Group A (elective) comprised 50 patients and group B (emergency) tracheostomies also comprised 50 patients. Early postoperative complications were examined and compare between both groups. Results: There were 28 (56%) and 22 (44%) males and females in group A with mean age 42.45±10.55 years while in group B 30 (60%) and 20 (40%) patients were male and females with mean age 43.06±9.84 years. Patients received emergency tracheostomy had high rate of postoperative complications as compared to elective tracheostomy (36% vs 16%). The difference was statistically significant(P<0.05). Conclusion: Early postoperative complications were high in patients underwent emergency tracheostomy as compared to elective tracheostomy. Keywords: Early complications, Elective tracheostomy, Emergency tracheostomy

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

Cited by 5 publications

References 8 publications

Impact of Vertical and Horizontal Skin Incisions on Outcome Measures in Tracheostomies

Impact of Vertical and Horizontal Skin Incisions on Outcome Measures in Tracheostomies

Comparison Between Complications of Elective and Emergency Tracheostomies

Comparison of Outcomes between Elective Tracheostomy versus Emergency Tracheostomy

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