Complications of Tracheostomy in 168 Cases / 대한이비인후과학회지
Korean Journal of Otolaryngology - Head and Neck Surgery
;
: 257-260, 1998.
Artículo
en Coreano
| WPRIM
| ID: wpr-649626
ABSTRACT
OBJECTIVES:
The purpose of this study is to evaluate the incidence of complications accompanying tracheostomy, and in addition, to suggest ways to prevent serious complications. MATERIALS ANDMETHODS:
We performed tracheostomy in 168 patients and their data were analyzed retrospectively.RESULTS:
Twenty one patients (12.5%) had complications directly related to tracheostomy. The most common complication was postoperative bleeding which accounted for 11 cases (6.7%). Others complications included pneumothorax which claimed 3 cases (1.8%) with reduced morbidity, cannula dislodgment claimed 3 cases (1.8%), cannula obstruction 2, wound infection 2 and tracheal stenosis 2. Among them, two patients died of tracheostomy complications. Decannulation was tried in 44 patients, but it fell short since only 11 patients were decannulated without difficulty. The rest of patients could not be decannulated because of various reasons including death, underlying disease, subglottic stenosis, tracheal stenosis or vocal cord palsy.CONCLUSION:
In order to avoid complications of tracheostomy, it is important to treat preoperatively the tendency to bleeding, and meticulously control it during the operation as well. Also, the use of longer cannulas and tracheal fenestration technique is helpful for patients with short and stocky neck. Positive pressure applied through the cannula can make serious complications such as pneumothorax when cannula-obstruction or cannuladislodgment is suspected and the high volume-low pressure cuff is useful to prevent the decannulation difficulties by longterm cannulation, especially in patients using ventilator.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Neumotórax
/
Estenosis Traqueal
/
Infección de Heridas
/
Traqueostomía
/
Cateterismo
/
Ventiladores Mecánicos
/
Parálisis de los Pliegues Vocales
/
Incidencia
/
Estudios Retrospectivos
/
Constricción Patológica
Tipo de estudio:
Estudio de incidencia
/
Estudio observacional
/
Estudio pronóstico
Límite:
Humanos
Idioma:
Coreano
Revista:
Korean Journal of Otolaryngology - Head and Neck Surgery
Año:
1998
Tipo del documento:
Artículo
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