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|Title: ||Tracheostomy: The Dynamics of Indications in an Old Procedure|
|Authors: ||Kokong, D.D.|
|Keywords: ||Emergency surgical airway|
|Issue Date: ||1-Apr-2016|
|Publisher: ||Journal of Otolaryngology and Rhinology|
|Series/Report no.: ||Vol. 2;Iss. 2; Pp 1-5|
|Abstract: ||Background: Securing a surgical airway remains one of the
fundamental components of critical care medicine as an obstructed
airway for more than three minutes is not compatible with life.
Purpose: Critical appraisal of the dynamics of the indications for
tracheostomy in a developing country.
Study design: Retrospective
Methods: Analyzed tracheostomy patients’ data over a 3-year
Results: We studied 41 tracheostomy cases of the 235 Ear Nose
Throat operations, constituting 17.4%. The M:F = 2.2:1, mean age
= 33.2 yrs ± 20.3. The relief of upper airway obstruction (n = 30,
73.2%) was the main indication with tumors accounting for 50% (n
= 15, 36.6%). Ventilatory support was the next main indication (n =
9, 22.0%). Of this, 4 (9.8%), representing 1.6% of the intubated who
developed laryngotracheal stenosis. Emerging indications included
Cut throat and infective causes that had a tie (n = 4, 9.8%). Twentynine
(70.7%) were successfully decannulated. The study recorded
12.2% complications while perioperative mortality was 4.9%.
Conclusion: Indications for elective tracheostomy is well
established, however, an algorithm describing the indications and
timing for a surgical airway in emergency cannot be drawn due to
the multiplicity of variables and the inapplicability in the context of
life-threatening critical emergency.|
|Appears in Collections:||Surgery|
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