Early complications of tracheostomy and future strategy

Objectives: to evaluate the early complications of tracheostomy and formulate the future strategy for avoiding complications and effective management of tracheostomy. material and methods: this study was conducted at the department of ent,khyber teaching hospital,peshawar,pakistan from november 2016 to october 2017. in this study,a total 34 patients included for which elective/emergency tracheostomy was planned. all the demographic data was collected on a predesigned proforma and written informed consent was taken. results: in this study of 34 patients,the age ranged from 1 year to 80 years comprising of mostly in the age limit of 1-20 years (61.7%). the male to female ratio was 1:1. after the initial assessment of all the patients,the procedure was explained to all the participants. baseline investigations were done to assess the fitness for anesthesia. in 23.5% of patients the procedure was performed due to presence of respiratory distress followed by road traffic accident/head injury in 28% of cases. rest of the causes included laryngeal carcinoma with dyspnea,parapharyngeal carcinoma,multi nodular goitre (mng),gullian barre syndrome (gbs),diphtheria,tetanus,poisoning,respiratory papilloma and post thyroidectomy with bilateral vocal cord paralysis. conclusion: the tracheostomy in the operation theater is a simple and safe procedure that offers many advantages in term of safety and efficacy. © 2017,khyber medical college. all rights reserved.