Bedside open tracheostomy at intensive care unit-our experiences of 1000 cases at a tertiary care teaching hospital of eastern India
Joint Authors
Behera, Ishwar Chandra
Swain, Santosh Kumar
Sahu, Mahesh Chandra
Source
Egyptian Journal of Ear, Nose, Throat and Allied Sciences
Issue
Vol. 18, Issue 1 (31 Mar. 2017), pp.49-53, 5 p.
Publisher
Egyptian Society of Ear Nose Throat and Allied Science
Publication Date
2017-03-31
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Introduction : Tracheostomy is usually done on critically ill patients those requiring prolonged mechanical ventilation at the intensive care unit (ICU).
Bedside tracheostomy is often helpful for avoiding transferring the unstable patients to operation theater and also minimizing the cost.
Aim : Assessing the safety, cost and procedure time, complications of bedside open tracheostomy at intensive care unit considering comparison to open tracheostomy at operation theater and bedside percutaneous dilatational tracheostomy (PDT) with its complications, cost and its simplicity.
Materials and methods : This descriptive retrospective study was carried out at a tertiary care teaching hospital during December 2006 to January 2016.
It included 1000 patients, undergone open bedside tracheostomy along with 152 undergone open tracheostomy at operating room(OR) and 112 bedside PDT.
All these patients were undergone bedside tracheostomy, followed up for next 3 months.
Complications occurring during and after tracheostomy were documented.
Results and discussion : This study group comprised patients with age group of 8 years to 82 years.
The complications among open bed side tracheostomy within 30 days were 10 minor bleeding, 1 major bleeding, 2 cardiac arrest, 1 pneumothorax, 6 stomal sepsis, 5 cervical emphysema.
Late complications like 2 laryngotracheal stenosis (LTS) were seen where as other complication like tracheocutaneous fistula and tracheoinominate fistula were not observed.
The complications rate is less in bedside open tracheostomy than open tracheostomy at OR and bedside PDT in our study.
Conclusion : Bedside elective open tracheostomy is safe, effective, cost effective and allowing timely tracheostomy with low morbidity.
American Psychological Association (APA)
Swain, Santosh Kumar& Behera, Ishwar Chandra& Sahu, Mahesh Chandra. 2017. Bedside open tracheostomy at intensive care unit-our experiences of 1000 cases at a tertiary care teaching hospital of eastern India. Egyptian Journal of Ear, Nose, Throat and Allied Sciences،Vol. 18, no. 1, pp.49-53.
https://search.emarefa.net/detail/BIM-777773
Modern Language Association (MLA)
Swain, Santosh Kumar…[et al.]. Bedside open tracheostomy at intensive care unit-our experiences of 1000 cases at a tertiary care teaching hospital of eastern India. Egyptian Journal of Ear, Nose, Throat and Allied Sciences Vol. 18, no. 1 (Mar. 2017), pp.49-53.
https://search.emarefa.net/detail/BIM-777773
American Medical Association (AMA)
Swain, Santosh Kumar& Behera, Ishwar Chandra& Sahu, Mahesh Chandra. Bedside open tracheostomy at intensive care unit-our experiences of 1000 cases at a tertiary care teaching hospital of eastern India. Egyptian Journal of Ear, Nose, Throat and Allied Sciences. 2017. Vol. 18, no. 1, pp.49-53.
https://search.emarefa.net/detail/BIM-777773
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 52-53
Record ID
BIM-777773