Tracheostomy in Intensive Care Unit: Indications, Benefits and Complications

Mahmud, Muddassir; Hossain, Altaf; Sarkar, Zakaria; Hossain, HS Mubarak; Islam, Obaidul; Ahmed, Mansoor; Sattar, Abdus

doi:10.3329/bjo.v21i1.24293

Cited by 4 publications

(12 citation statements)

References 8 publications

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“…14 In our study sex distribution among the 120 cases of tracheostomy in ICU showed 77 (64.16%) were male patients and 43 (35.83%) were female, male to female ratio was 1.79:1.Study done by Mahmud et al male patient were 65% and female patients were 35%, male to female ratio 1.8:1 which is similar to our study. 13 Another study done by Chandra et al male patients were 61% and female patients were 39% which nearer to our study. 14 Study done by Perfeito et al showed male to female ratio was found 1.8:1 which is similar to our study.…”

Section: Discussionsupporting

confidence: 82%

“…Study done by Mahmud et al was 10%, Perfeito et al was 8.7% and Chowdhury et al was 10% which is nearer to our study. 9,13,15 In our study, the most common complication of tracheostomy in ICU was surgical emphysema 4 (3.33%) followed by hemorrhage 3 (2.5%), tube displacement 3 (2.5%), wound infection 3 (2.5%). Study done by Mahmud et al and Chowdhury et al showed similar result.…”

Section: Discussionmentioning

confidence: 60%

“…It is one of the life-saving operations. 13 In this study 120 cases of tracheostomy in the ICU were studied and the patient demographics, indications, complications and outcomes were analyzed and compare with similar study.…”

Section: Discussionmentioning

confidence: 99%

“…9 Another study done by Mahmud et al showed head injury with RTA 27.5% followed by postoperative case of ICSOL were 25% which is nearer to our study. 13 The incidence of RTA is very high in our country due to overloaded or unroadworthy vehicles, lack of awareness of safe road use, poor traffic management and law enforcement and poor driver training. 16 In our study, the rate of complications of tracheostomy in ICU was 13 (10.83%).…”

Section: Discussionmentioning

confidence: 99%

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Indications and outcomes of tracheostomy in intensive care unit

Rahman

Begum

Khan

et al. 2020

Int J Otorhinolaryngol Head Neck Surg

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Background: Tracheostomy is a commonly performed surgical procedure in the intensive care unit (ICU) in which creation of a stoma between the skin and the anterior wall of the trachea where there is need for prolong mechanical ventilation. Tracheostomy has considered a safe procedure in ICU but has been found to lead to life threatening complications intra and post operatively.Methods: This is a cross sectional study, was carried out in ICU, Chittagong Medical College Hospital, Chattogram from January 2018 to December 2019. A total of 120 patients irrespective of age and sex whose tracheostomy has done after admission in ICU by ENT surgeons. Results: Out of 120 patients maximum 34 (28.33%) were from 21-30 years age group and male to female ratio was 1.79:1, male patients were 77 (64.16%) and female patients were 43 (35.83%). The most common indication for tracheostomy in ICU was head injury and history of RTA 34 (28.33%) followed by post-operative case of intracranial space occupying lesion 30 (25%). Post tracheostomy complication was surgical emphysema 4 (3.33%). The rate of complication of tracheostomy in ICU was 10.83% in this study. Regarding benefits of tracheostomy over endotracheal tube in ICU, we found that 100% patients had greater comfort.Conclusions: Tracheostomy in ICU is an important and safe procedure if prolonged endotracheal in tubation is advised for varying underlying causes.

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Section: Discussionsupporting

confidence: 82%

Section: Discussionmentioning

confidence: 60%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Indications and outcomes of tracheostomy in intensive care unit

Rahman

Begum

Khan

et al. 2020

Int J Otorhinolaryngol Head Neck Surg

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“…In a study in BSMMU and Dhaka Medical College Hospital (DMCH) common indications were head injury with history of Road Traffic Accident (RTA) (26.67%) and Cerebrovascular disease including cerebrovascular accident, post operative case of intra cranial space occupying lesion, followed of Guillain-Barre syndrome (10%). 1,10,11 Head injury with history of RTA was the commonest indication because the incidence of RTA is very high in this country due to overloaded or inroad worthy vehicles, lack of awareness of safe road use, poor traffic management, lack of proper law enforcement and poor driver training. 12 RTA patients outnumber for admitting in ICU settings but patients first attend emergency department of Public Hospitals for cost effective treatment and only who can effort go to private ICU settings.…”

Section: Discussionmentioning

confidence: 99%

Bedside Conventional Tracheostomy in ICU: A Multicenter Experience from Bangladesh

Mazumder¹,

Alam

Daulatuzzaman³

et al. 2016

Bangladesh Crit Care J

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Tracheostomy is one of the most frequent procedures performed in intensive care unit (ICU) patients. It has many advantages like patients comfort, early movement from the ICU, and shorter ICU and hospital stay. Of the various techniques, we practice bedside open procedure tracheostomy for ICU patients considering the safety and cost effectiveness.Aim: To observe the common indications and timing of tracheostomy in our circumstances.Method: This cross-sectional study was carried out in 11 ICUs of Dhaka city from January 2008 to June 2015. All ICU patients, irrespective of age and sex , whose tracheostomy were done after admission in ICU at bedside by the principal author with associates were included in this study.Result: Bedside conventional tracheostomy was done in 345 ICU patients during the study period. Among them, 65% were male and 35% were female. Mean age of the patients was 44.30. Common indications for tracheostomy were cerebro-vascular disease (36%), laryngeal oedema (20%), advanced malignancy (16%), and trauma (12%). Only 54 patients had complications like hemorrhage (6%), surgical emphysema (3%), tube displacement (3%), wound infection (2%) and pneumothorax (1%).Conclusion: Bedside conventional tracheostomy is safe and efficient with low morbidity. Mortality is not worse and may be improved with earlier provision, especially in head-injured and critically ill medical patients. The timing of tracheostomy continues to be individualized, and should include daily weaning assessment, and can generally be made within 7 days of endotracheal intubation.Bangladesh Crit Care J September 2016; 4 (2): 65-68

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Changing Trends in Tracheostomy in a Critical Care Unit: A Study from a Tertiary Care Centre in Western India

Pathak¹,

Rathod²,

Raibagkar³

2022

BJOHNS

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Introduction Identification of newer trends in indications and timing of tracheostomy and their implication on the outcome of the patients in a critical care unit, based on observations recorded in patients from a tertiary care centre in Western India. Materials and Methods 100 patients admitted in the critical care unit, who underwent tracheostomy, were studied retrospectively. The patients were analyzed for the epidemiological data, indications, timing, and outcome of the tracheostomy. The outcomes were assessed based on mortality, discharge, decannulation, complications and VAP as parameters. A comparative analysis of the outcome of the tracheostomy depending on the timing of tracheostomy was conducted. Results Male: Female ratio was 1.77:1. Majority of the patients belonged to the age group of 21 to 40 years. Anticipation of prolonged airway was commonest indication for tracheostomy (49%). Early tracheostomy was preferred (68%). The mortality rate was 38%. 48% of patients were discharged with a successful decannulation in 72.9% of them. Complications and VAP were observed in 16% and 23% of patients, respectively. The timing of tracheostomy had a significant impact on the outcome. Conclusion Anticipating prolonged intubation is the most important indication for tracheostomy in the critical care unit. Early tracheostomy is associated with favourable outcomes in terms of decreased mortality, improved survival rate, lesser complication, low incidence of VAP, and thus, better weaning. As soon as the need for prolonged management of the airway is identified, tracheostomy should be considered.

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Tracheostomy in Intensive Care Unit: Indications, Benefits and Complications

Cited by 4 publications

References 8 publications

Indications and outcomes of tracheostomy in intensive care unit

Indications and outcomes of tracheostomy in intensive care unit

Bedside Conventional Tracheostomy in ICU: A Multicenter Experience from Bangladesh

Changing Trends in Tracheostomy in a Critical Care Unit: A Study from a Tertiary Care Centre in Western India

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