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Urgent tracheostomy: four-year experience in a tertiary hospital / 世界急诊医学杂志(英文)
World Journal of Emergency Medicine ; (4): 227-230, 2016.
Article in English | WPRIM | ID: wpr-789768
ABSTRACT
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BACKGROUND:

Urgent airway management is one of the most important responsibilities of otolaryngologists, often requiring a multidisciplinary approach. Urgent surgical airway intervention is indicated when an acute airway obstruction occurs or there are intubation difficulties. In these situations, surgical tracheostomy becomes extremely important.

METHODS:

We retrospectively studied the patients who underwent surgical tracheostomy from 2011 to 2014 by an otolaryngologist team at the operating theater of the emergency department of a tertiary hospital. Indications, complications and clinical evolution of the patients were reviewed.

RESULTS:

The study included 56 patients (44 men and 12 women) with a median age of 55 years. The procedure was performed under local anesthesia in 21.4% of the patients. Two (3.6%) patients were subjected to conversion from cricothyrostomy to tracheostomy. Head and neck neoplasm was indicated in 44.6% of the patients, deep neck infection in 19.6%, and bilateral vocal fold paralysis in 10.7%. Stridor was the most frequent signal (51.8%). Of the 56 patients, 15 were transferred to another hospital. Among the other 41 patients, 21 were decannulated (average time 4 months), and none of them were cancer patients. Complications occurred in 5 (12.2%) patients hemorrhage in 3, surgical wound infection in 1, and cervico-thoracic subcutaneous emphysema in 1. No death was related to the procedure.

CONCLUSION:

Urgent tracheostomy is a life-saving procedure for patients with acute airway obstruction or with diffi cult intubation. It is a safe and effective procedure, with a low complication rate, and should be performed before the patient''s clinical status turns into a surgical emergency situation.

Full text: Available Index: WPRIM (Western Pacific) Language: English Journal: World Journal of Emergency Medicine Year: 2016 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Language: English Journal: World Journal of Emergency Medicine Year: 2016 Type: Article