A study to evaluate the safety of open elective tracheostomy for patients under long mechanical ventilation

  • Dr. Sarmishtha De
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D. S. De, “A study to evaluate the safety of open elective tracheostomy for patients under long mechanical ventilation ”, ijmhs, vol. 5, no. 1, Jan. 2015.
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Abstract

Introduction: The approach of elective open tracheostomy has proved to be safe in selected patients. The primary objective of this study was to determine the safety of elective open tracheostomy as a routine ICU procedure without any selection criteria, considering its peri- and postoperative complications.

Methods: This Retrospective Analytical  study involved data of 50 of the randomly selected patients ( candidates / study subjects) . ) During this study, prior to tracheostomy brief history was noted about all the patients.

Results: In our study a total of 50 patients underwent bedside elec- tive open tracheostomy during the course of mechanical ventilation. Reasons for mechanical ventilation in above patients included polytrauma, head injury, organo-phosphorous poisoning, septicemia with multi organ failure, dengue encephalitis etc. In this study of 50 patients, 36 were male and 14 were female with a male to female ratio of 2.57:1 and average age of 37 years, youngest being 18 years and oldest being 68 years.

Conclusion: . Elective open tracheostomy seems to be a safe and simple procedure. It is cheaper than other techniques and should always be consid- ered as an option for ICU patients who are under prolonged mechanical ventilation.

Key Word : Elective open tracheostomy , ICU, Retrograde , Ventilation

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