Tracheostomy in Intensive Care Unit: Indications, Benefits and Complications

  • Muddassir Mahmud Registrar, National Institute of ENT, Dhaka
  • Md Abul Hossain Assistant Professor, National Institute of ENT, Dhaka
  • Md Zakaria Sarkar Assistant Professor, National Institute of ENT, Dhaka
  • HS Mubarak Hossain Junior Consultant, UHC, Boalkhali, Chittagong
  • Md Obaidul Islam Research officer, National Institute of ENT, Dhaka
  • Mesbah Uddin Ahmed Associate Professor, National Institute of ENT, Dhaka
  • Md Abdus Sattar Associate Professor, Department of Otolaryngology and Head-Neck Surgery, BSMMU, Dhaka
Keywords: Tracheostomy, Intensive Care Unit

Abstract

Objectives: To see the common indications of tracheostomy in ICU in this country, to compare the benefits over endotracheal intubation and to find out the pattern of complication of tracheostomy in the ICU to enrich the ideas for minimizing the complications.

Methods: This is a cross sectional study was carried out at the Department of Otolaryngology and Head-Neck Surgery and Intensive Care Unit of Bangabandhu Sheikh Mujib Medical University & Dhaka Medical college Hospital, Dhaka from October 2012 to march 2013.This study includes all ICU patients, irrespective of age and sex, whose tracheostomy has done after admission in Intensive Care Unit.

Results: The study revealed that the commonest indication of tracheostomy in the ICU was head injury with history of RTA (27.5%), followed by post operative case of Intracranial space occupying lesion (25%). Next common indications were Guillain-Barre syndrome (15%), cerebrovascular accident (12.5%), Maxillofacial trauma (5%), RTA with cervical spinal cord injury (5%), and post operative pneumonia (5%)., Regarding benefits of tracheostomy over endotracheal intubation in ICU we found that 100% patient had greater comfort.The rate of complication of tracheostomy in ICU was 10% in this study. Surgical emphysema was the commonest complications (5%) followed by haemorrhage(2.5%) and tube displacement(2.5%).

Bangladesh J Otorhinolaryngol; April 2015; 21(1): 28-32

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Author Biography

Muddassir Mahmud, Registrar, National Institute of ENT, Dhaka


Published
2015-07-27
How to Cite
Mahmud, M., Hossain, M. A., Sarkar, M. Z., Hossain, H., Islam, M. O., Ahmed, M., & Sattar, M. A. (2015). Tracheostomy in Intensive Care Unit: Indications, Benefits and Complications. Bangladesh Journal of Otorhinolaryngology, 21(1), 28-32. https://doi.org/10.3329/bjo.v21i1.24293
Section
Original Articles