TY  - JOUR
T1  - Clinical Profile, Indications, and Complications of Tracheostomy in A Tertiary Care Centre
AU - SankaraNarayanan, G. AU - Pillai, Raajan AU - Nath, H.S. AU - Joy, Lyra AU - , Mahiben 
JO  - Research Journal of Medical Sciences
VL  - 18
IS  - 11
SP  - 702
EP  - 706
PY  - 2024
DA  - 2001/08/19
SN  - 1815-9346
DO  - makrjms.2024.11.702.706
UR  - https://makhillpublications.co/view-article.php?doi=makrjms.2024.11.702.706
KW  - Tracheostomy
KW  - airway obstruction
KW  - hypopharyngeal carcinoma
KW  - tube blockage
KW  - complications
KW  - tracheobronchial toilet
AB  - Tracheostomy is a frequently performed airway procedure in both
emergency and elective settings, particularly for patients with upper
airway obstruction, prolonged mechanical ventilation, or requiring
tracheobronchial toileting. The clinical profile, indications, and
complications of tracheostomy vary depending on institutional practices
and patient demographics. To evaluate the demographic distribution,
clinical indications, and complications associated with tracheostomy in
patients managed at a tertiary care teaching hospital with a full fledged
oncology and cardiac centre over a two‐year period. This retrospective
observational study included 98 patients who underwent tracheostomy
between January 2022 and December 2023. Data were collected on age,
gender, indication for tracheostomy, type of anaesthesia used, and
procedure‐related complications. The majority of patients were males
(57.1%), and most tracheostomies were performed under local
anaesthesia (68.4%). The peak incidence was in the age group 51–60
years with a mean age 52 (39.8%). The most common indication was
respiratory obstruction (60.2%), primarily due to carcinoma of the
hypopharynx, glottis,or supraglottis. Prolonged ventilation (30.6%) and
Tracheobronchial toileting (6.1%) were other significant indications. The
most frequent complication was tube blockage (20.4%), followed by
infection at the tracheostomy site (12.2%). Respiratory obstruction due
to upper aerodigestive tract malignancies remains the most common
indication for tracheostomy in our setting. While the procedure is
generally safe, complications such as tube blockage and infection are not
uncommon. Routine post‐operative monitoring and early recognition of
complications are essential to reduce morbidity.
ER  -