EARLY COMPLICATIONS OF TRACHEOSTOMY AND FUTURE STRATEGY

Objectives: To evaluate the early complications of tracheostomy and formulate the future strategy for avoiding complicationsand 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/emergencytracheostomy was planned. All the demographic data was collected on a predesigned proforma and written informedconsent 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 of1-20 years (61.7%). The male to female ratio was 1:1. After the initial assessment of all the patients, the procedure wasexplained to all the participants. Baseline investigations were done to assess the fitness for anesthesia. In 23.5% ofpatients the procedure was performed due to presence of Respiratory distress followed by road traffic accident/headinjury 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 andpost thyroidectomy with bilateral vocal cord paralysis.Conclusion: The tracheostomy in the operation theater is a simple and safe procedure that offers many advantagesin term of safety and efficacy.