Tracheostomy complications in otorhinolaryngology are rare despite the critical airway.
Airway
ENT
Morbidity
Mortality
Tracheostomy
Tracheotomy
Journal
European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
ISSN: 1434-4726
Titre abrégé: Eur Arch Otorhinolaryngol
Pays: Germany
ID NLM: 9002937
Informations de publication
Date de publication:
Nov 2021
Nov 2021
Historique:
received:
15
12
2020
accepted:
17
02
2021
pubmed:
4
3
2021
medline:
6
10
2021
entrez:
3
3
2021
Statut:
ppublish
Résumé
To identify complications of surgical tracheostomies in otorhinolaryngologic patients and adjust our processes to be properly prepared in the future. We reviewed retrospectively all surgical tracheostomies (n = 255) performed by otolaryngologist-head and neck surgeons at Helsinki University Hospital between Jan 2014 and Feb 2017. Patient demographics, surgical details, surgical and medical complications, and tracheostomy-related mortality were recorded from the hospital charts. Risk factors for complications were assessed. Altogether, 55 (22%) complications were identified in 39 (15%) patients, with pneumonia, accidental decannulation, and bleeding being the most common. No patient or surgery-related factor reached significance in overall complication risk factor analysis. Medical complications were more common after elective tracheostomies compared to emergency procedures (10.6% vs. 3.5%, p < 0.05). Majority of complications (78%) were classified as mild or moderate according to Clavien-Dindo. Only 2 (0.8%) tracheostomy-related deaths were recorded. In otorhinolaryngologists service, severe complications and tracheostomy-related deaths are very rare. Reducing their prevalence even further with careful planning is possible.
Identifiants
pubmed: 33656585
doi: 10.1007/s00405-021-06707-7
pii: 10.1007/s00405-021-06707-7
pmc: PMC8486710
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
4519-4523Informations de copyright
© 2021. The Author(s).
Références
Indian J Otolaryngol Head Neck Surg. 2019 Oct;71(Suppl 1):580-584
pubmed: 31742024
Int J Crit Illn Inj Sci. 2015 Jul-Sep;5(3):179-88
pubmed: 26557488
Laryngoscope. 2019 Mar;129(3):619-626
pubmed: 30450581
Respir Care. 2018 Aug;63(8):1009-1015
pubmed: 29717097
Otolaryngol Head Neck Surg. 2000 Oct;123(4):495-500
pubmed: 11020193
Ann R Coll Surg Engl. 1990 Jul;72(4):218-20
pubmed: 2382943
J Craniomaxillofac Surg. 2019 Apr;47(4):642-646
pubmed: 30755353
Maxillofac Plast Reconstr Surg. 2016 Aug 25;38(1):32
pubmed: 27617258
Dtsch Arztebl Int. 2017 Apr 21;114(16):273-279
pubmed: 28502311
J Oral Maxillofac Surg. 2012 Jul;70(7):1699-702
pubmed: 22018448
Laryngoscope. 2017 Dec;127(12):2746-2753
pubmed: 28543108
Ann Surg. 1999 Nov;230(5):708-14
pubmed: 10561096
World J Emerg Surg. 2011 Nov 10;6(1):38
pubmed: 22074571
Pneumologie. 2015 Jun;69(6):335-40
pubmed: 25962568
Laryngoscope. 2012 Jan;122(1):38-45
pubmed: 22183627
Head Neck. 2015 Apr;37(4):464-70
pubmed: 24677228