Short-Term Complications of Emergency and Elective Tracheostomy; A Comparative Study

Zaheer Ul Hassan; Farhan Akbar; Tarique Ahmed Maka

doi:10.37185/LnS.1.1.117

Zaheer Ul Hassan Combined Military Hospital (CMH), Peshawar
Farhan Akbar Combined Military Hospital (CMH), Rawalpindi
Tarique Ahmed Maka National University of medical Sciences

DOI: https://doi.org/10.37185/LnS.1.1.117

Keywords: Cardiac Arrest, Hemorrhage, Stomal Infection, Surgical Emphysema, Tracheostomy.

Abstract

Objective: To compare short-term complications in elective and emergency tracheostomy.
Study Design: Comparative cross sectional.
Place Duration of Study: The study was conducted in the Department of ENT, Head and Neck Surgery at Combined Military Hospital (CMH) Peshawar from 21th October 2018 to 20th October 2019.
Materials and Methods: In this study 60 patients undergoing tracheostomy were included. Patients were divided into two groups, each with 30 participants. Patients in group A had elective whereas group B had emergency tracheostomy. Short term complications including hemorrhage, surgical emphysema, cardiac arrest and stomal infection were noted in both groups. Chi-square test was applied as test of significance to compare the two groups.
Results: Emergency tracheostomy is associated with significantly increased risk of hemorrhage and surgical emphysema (p value being <0.05. There was no statistical difference in occurrence of stomal infection and cardiac arrest between the two groups.
Conclusion: Tracheostomy performed in emergency is fraught with complications. Our study validates the fact that emergency tracheostomy is associated with significantly increased risk of postoperative hemorrhage and surgical emphysema.

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