A Clinical Study of Tracheostomy in Tertiary Care Hospital

Abstract

The study was carried out in Dr. Shankarrao Chavan Government medical college, Nanded at the department of Otorhinolaryngology for a period of 18 months from Jan 2020 to June 2021, was a prospective evaluation of 65 patients of all ages and both gender presenting in the emergency ward or Intensive Care Unit (ICU) or in ENT Out Patient Department for whom tracheostomy was done for various indications. The study aimed to nd out the different indications for tracheostomy, the microbiological study of secretions of tracheostomy stoma or tracheal secretions, and intra and postoperative complications in patients undergoing tracheostomy. The study shows the most common indication for tracheostomy was patients admitted to ICU for prolonged ventilatory support 43% followed by stridor patients presented in the emergency ward about 28% patients. Similarly, the most common complication was haemorrhage followed by stoma infection. This study shows most common organism cultured from tracheal secretion was pseudomonas aeruginosa followed by Acinetobacili barmanni, staphylococcus aureus, Klebsiella pneumoniae, Escherichia coli.