Morbidity and mortality associated with tracheotomy procedure in a university medical centre

International Journal of Oral and Maxillofacial Surgery
D Oreadi, E R Carlson

Abstract

This prospective study assessed the morbidity and mortality associated with 192 consecutive tracheotomies. Complications were assessed including intraoperative and/or postoperative bleeding, infection, tracheoinnominate fistulae, tracheoesophageal fistulae, dislodgement of the tracheotomy tube, pneumothorax, wound infection and obstruction of the airway. 16% of the tracheotomy procedures resulted in complications. 22 tracheotomy procedures (11%) resulted in postoperative bleeding, 6 procedures (3%) had intraoperative bleeding which exceeded an estimated blood loss of 5 cc and 2 procedures (1%) developed a tracheoesophageal fistula. One patient (0.5%) experienced airway distress related to obstruction of the airway proximal to the tracheotomy tube. No patients required a return to the operating room to manage their complication, no patients developed a tracheoinnominate fistula and none of the tracheotomy sites became infected. The post tracheotomy ventilator wean to trach-collar supplemental oxygen protocol was accomplished with a mean of 6 days in 119 patients for whom data was available. Results demonstrate that the open tracheotomy procedure is a safe and frequently life saving manoeuvre in situations with an unsecured airwa...Continue Reading

References

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Citations

Mar 25, 2016·The Indian Journal of Surgery·Yongzhong FanChaojun Yan
Apr 2, 2014·Medical Engineering & Physics·Saranne J CookKent N Bachus
Oct 9, 2012·International Journal of Oral and Maxillofacial Surgery·M MantovaniL Pignataro
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Jan 18, 2015·Clinical Neurology and Neurosurgery·R SeizeurP Reynaud
Aug 27, 2015·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Wayne D HsuehWaleed M Abuzeid
Oct 31, 2017·The Journal of Craniofacial Surgery·Alexander K BartellaBernd Lethaus
May 16, 2017·Deutsches Ärzteblatt International·Eckart Klemm, Andreas Karl Nowak
Apr 27, 2021·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Eric R CarlsonMichael Winstead

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