INDICATIONS AND COMPLICATIONS OF TRACHEOSTOMY – A LONGITUDANAL STUDY
Journal Title: IJAR-Indian Journal of Applied Research - Year 2019, Vol 9, Issue 5
Abstract
Introduction: Tracheostomy now emerges as a procedure replacing intubation due to its decreased morbidity and mortality outcome. The indications and complications of this life saving procedure should be made clear. The study was done for the indications of tracheostomy occurring in hospitalized patients and also about the complications among these patients after the procedure. Materials and Methods: This was a longitudinal study among 144 ICU patients admitted in a tertiary care hospital who had undergone tracheostomy. The clinical profile of the patient at the time of tracheostomy (indication) and the follow up period complications after decannulation was assessed. Results: Out of the 144 subjects, 80(55.6%) were males and mean (SD) age of the population was 42.72(13.22) years. In our study we found that major indication tracheostomy was for prolonged intubation needing ICU admission. The major cause for ICU admission was Road Traffic Accident (RTA) 45(31.3%) which was followed by Polytrauma 33 (22.9%) and septic shock 17(11.81%) In our study most of the subjects had granulation 31(21.53%), ulceration with slough 16(11.1%) and ulceration of subglottis 6(4.17%) as early complication. And there was granulation at tracheostomy site 19(13.19%), subglottic stenosis 11(7.64%) and vocal cord palsy 6(4.17%) as late complications. Conclusion: The study described the variation in indication and complication in terms of different hospitals. Delay in decision in case of such procedure can lead to increase in mortality and morbidity.
Authors and Affiliations
Dr. Mita Mariam Sabu, Dr. P. K. Purushothaman, Dr. Sweta Mary Sabu*
Keywords
Related Articles
- EP ID EP581139
- DOI -
- Views 38
- Downloads 0
ECONOMIC VALUE ADDED ACCOUNTING : AN APPROPRIATE CORPORATE PERFORMANCE MEASURE
Economic Value Added Accounting has been acclaimed to be the most recent and exciting innovation in company performance measures. It can bring great value to a company by focusing the entire organization on activities th...
A STUDY ON IMPACT OF IND AS ON CORPORATE GOVERNANCE
Current Indian economy is result of number of reforms, resulting in a more market-oriented economy. Out of which Liberalization, Privatization and globalization can be considered as a key reform, and as a result the size...
Variant of Turner Syndrome 45, X/46, XY Mosaicism: A Case Report
Turner syndrome (TS) is the consequence of complete or partial absence of one X chromosome in a p-he notypic female usually characterized by short stature, gonadal dysgenesis and a variety of other clinical features. Abo...
ROLE OF HUMAN RESOURCE MANAGEMENT IN PRIVATE HOSPITAL'S : A STUDY OF MEERUT REGION
Health care is the world's largest industry. Decades ago, the hospital administration was managed by a single doctor. Today, it is well recognized that the system requires a total professionalization to achieve quality a...
SCHOOL DROPOUT TRENDS FOR ELEMENTARY AND SECONDARY EDUCATION IN PUNE DISTRICT (AN EXPLORATORY STUDY BASED ON UDISE DATA)
Education is a basic human right for all and is important for everyone to make the most of their lives. The present situation of education in India is that, despite the fact that notable progress has been made in univers...