Isteraj Shahabi, Bakht Zada, Imad, Mumtaz Ali.
Complications of conventional Tracheostomy
J Postgrad Med Inst Jun 2005;19(2):187-91.
Department of ENT & Head_Neck Surgery PGMI Hayatabad Medical Complex Peshawar

Objectives: To study the various complications associated with conventional tracheostomy. Material and Methods: It is a descriptive study, conducted in the department of E.N.T & Head and Neck Surgery P.G.M.I Hayat Abad Medical Complex Peshawar from 1st June 2003 to 31 May 2004. Fifty patients of both genders and all age groups on whom tracheostomy was performed were included in the study. All patients were assessed pre-operatively. They were observed for complications during the procedure, in the recovery room and in the ward. They were followed for 3 months after the procedure. Complications arising during that period were recorded on the proforma. Results: Fifty patients, comprising of thirty-eight male and twelve female patients, underwent tracheostomy, with male to female ratio of 3:1 and average age of 35 years. Out of 50 patients, 70% (n=35) underwent emergency tracheostomy and only 30% (n=15) had elective procedure. Immediate complications included primary haemorrhage (6%) and apnoea (2%). Intermediate complications were surgical emphysema (4%), stomal infection (4%), tube obstruction (4%) and dislodgement of tube (2%). Late complications seen at 3 months follow up included difficult decannulation, tracheal stenosis and hypertrophired scar (2% each). Mortality due to procedure itself was nil. Conclusion: Tracheostomy is a commonly performed life saving operation. It is associated with certain complications that are more in cases of emergency procedures and in children. However mortality associated with the procedure is largely due to the primary disease and not due to the procedure itself.

Category: Otolaryngology
Keywords: Tracheostomy. Trachea.

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USER COMMENTS

Assalam O Alaikum!! Dear LALA Great to read your article here in this journal, hope u r doing well with your job, May Allah give u more courage for the upcoming achievments and successes. tc bye LAIQ UR REHMAN
Posted by: Laiq on Mar 2007

It is indeed difficult to comment on the arrticle without reading the full text ,but there are some points worth mentioning. the mortality can be linked to the primary disease but the complications are either related to the procedire itself or to the post operative care of the tracheostomy,as mentioned in your study,the most frequent complication is primary haemorrhage(6%). it would certainly be useful if someone stidies the comaprison between the conventional tracheostomy and percutaneous dilational tracheostomy. Dr Zia Rizvi
Posted by: ziarizvi on Dec 2007

I am really surprised how poor is the english of our doctors in Pakistan .I think its just very sad that our journals have such poor quality when it comes to writing a simple article.I am not a super writer or anything but when we do good work and can not project it in a proper way it looks bad and goes wasted.Please try to improve the english ...no offence Dr.Zia Rizvi....just read before you post a comment.
Posted by: SIMPLEMD on Jan 2008

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