COMPLICATIONS OF OPEN SURGICAL TRACHEOSTOMIES AND THEIR MANAGEMENT - OUR EXPERIENCE

Objective: To justify the role of open surgical tracheotomy in patients admitted in surgical or medical intensive care units for ventilator support or secretion management. Study Design: A descriptive study. Place and Duration of Study: Department of otorhinolaryngology- Head and Neck Surge...

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Autores principales:	Zeba Ahmed, Khalid Hussain Mahida, Zill E Huma, Tariq Muhammad
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2018
Materias:	complications intensive care units Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/3c0d52d4d40740e29606c494c5171652
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spelling	oai:doaj.org-article:3c0d52d4d40740e29606c494c51716522021-11-26T03:29:10ZCOMPLICATIONS OF OPEN SURGICAL TRACHEOSTOMIES AND THEIR MANAGEMENT - OUR EXPERIENCE0030-96482411-8842https://doaj.org/article/3c0d52d4d40740e29606c494c51716522018-12-01T00:00:00Zhttps://www.pafmj.org/index.php/PAFMJ/article/view/2563/2101https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To justify the role of open surgical tracheotomy in patients admitted in surgical or medical intensive care units for ventilator support or secretion management. Study Design: A descriptive study. Place and Duration of Study: Department of otorhinolaryngology- Head and Neck Surgery, Dr Ruth K M Pfau Civil Hospital Karachi, Dow Medical College- Dow University of Health Sciences and Otolaryngology-Head & Neck Surgery Ziauddin University Karachi Jan 2014 to Jan 2018. Material and Methods: This study includes all elective and emergency tracheotomies performed in intensive care units (ICU). Patients with cervical spine injuries, bleeding diathesis and patients below 12 years of age were excluded from our study. Results: We encountered complications in 20 patients out of 534, on whom tracheotomies were carried out in intensive care setting. Hemorrhage during and after tracheotomy procedure occurred in eight patients, which was controlled by pressure, ligation or diathermy. Procedure related surgical emphysema occurred in two patients; it was limited to cervical region and subsided with conservative management. The inadvertent decannulation of tracheotomy tube occurred in two cases. Subglottic stenosis developed in four patients. Tracheo esophageal fistula was encountered in four cases. Conclusions: A low morbidity and mortality rate in our series justifies the role of open surgical tracheostomy in patients admitted in surgical or medical ICU for ventilator support or secretion management. It is also effective in a situation of unsecured airway.Zeba AhmedKhalid Hussain MahidaZill E HumaTariq MuhammadArmy Medical College Rawalpindiarticlecomplicationsintensive care unitsMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 68, Iss 6, Pp 1642-1647 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	complications intensive care units Medicine R Medicine (General) R5-920
spellingShingle	complications intensive care units Medicine R Medicine (General) R5-920 Zeba Ahmed Khalid Hussain Mahida Zill E Huma Tariq Muhammad COMPLICATIONS OF OPEN SURGICAL TRACHEOSTOMIES AND THEIR MANAGEMENT - OUR EXPERIENCE
description	Objective: To justify the role of open surgical tracheotomy in patients admitted in surgical or medical intensive care units for ventilator support or secretion management. Study Design: A descriptive study. Place and Duration of Study: Department of otorhinolaryngology- Head and Neck Surgery, Dr Ruth K M Pfau Civil Hospital Karachi, Dow Medical College- Dow University of Health Sciences and Otolaryngology-Head & Neck Surgery Ziauddin University Karachi Jan 2014 to Jan 2018. Material and Methods: This study includes all elective and emergency tracheotomies performed in intensive care units (ICU). Patients with cervical spine injuries, bleeding diathesis and patients below 12 years of age were excluded from our study. Results: We encountered complications in 20 patients out of 534, on whom tracheotomies were carried out in intensive care setting. Hemorrhage during and after tracheotomy procedure occurred in eight patients, which was controlled by pressure, ligation or diathermy. Procedure related surgical emphysema occurred in two patients; it was limited to cervical region and subsided with conservative management. The inadvertent decannulation of tracheotomy tube occurred in two cases. Subglottic stenosis developed in four patients. Tracheo esophageal fistula was encountered in four cases. Conclusions: A low morbidity and mortality rate in our series justifies the role of open surgical tracheostomy in patients admitted in surgical or medical ICU for ventilator support or secretion management. It is also effective in a situation of unsecured airway.
format	article
author	Zeba Ahmed Khalid Hussain Mahida Zill E Huma Tariq Muhammad
author_facet	Zeba Ahmed Khalid Hussain Mahida Zill E Huma Tariq Muhammad
author_sort	Zeba Ahmed
title	COMPLICATIONS OF OPEN SURGICAL TRACHEOSTOMIES AND THEIR MANAGEMENT - OUR EXPERIENCE
title_short	COMPLICATIONS OF OPEN SURGICAL TRACHEOSTOMIES AND THEIR MANAGEMENT - OUR EXPERIENCE
title_full	COMPLICATIONS OF OPEN SURGICAL TRACHEOSTOMIES AND THEIR MANAGEMENT - OUR EXPERIENCE
title_fullStr	COMPLICATIONS OF OPEN SURGICAL TRACHEOSTOMIES AND THEIR MANAGEMENT - OUR EXPERIENCE
title_full_unstemmed	COMPLICATIONS OF OPEN SURGICAL TRACHEOSTOMIES AND THEIR MANAGEMENT - OUR EXPERIENCE
title_sort	complications of open surgical tracheostomies and their management - our experience
publisher	Army Medical College Rawalpindi
publishDate	2018
url	https://doaj.org/article/3c0d52d4d40740e29606c494c5171652
work_keys_str_mv	AT zebaahmed complicationsofopensurgicaltracheostomiesandtheirmanagementourexperience AT khalidhussainmahida complicationsofopensurgicaltracheostomiesandtheirmanagementourexperience AT zillehuma complicationsofopensurgicaltracheostomiesandtheirmanagementourexperience AT tariqmuhammad complicationsofopensurgicaltracheostomiesandtheirmanagementourexperience
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COMPLICATIONS OF OPEN SURGICAL TRACHEOSTOMIES AND THEIR MANAGEMENT - OUR EXPERIENCE

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