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[Complications of tracheotomy]
F Viau1, A Lededente, J Y Le Tinier
1Service de Pneumologie, CMC de Bligny, Briis-sous-Forges.
Revue De Pneumologie Clinique
|January 1, 1988
Summary
Tracheotomy complications, including hemorrhage and fistulae, occur early, while tracheal stenosis is a major late issue. Careful management and equipment are vital to minimize risks and improve patient quality of life.
Area of Science:
- Medical Complications
- Surgical Procedures
Context:
- Tracheotomy is a common procedure with potential early and late complications.
- Understanding these risks is crucial for patient safety and effective management.
Purpose:
- To review and categorize the complications associated with tracheotomy.
- To highlight the incidence, nature, and management of early and late tracheotomy complications.
Summary:
- Early complications include hemorrhage (0.3-2%), esophagotracheal fistulae (0.5-2%), cardiac arrhythmia during suctioning (35%), technical issues (4-6%), pneumothorax (1-5%), and wound infections (0.5-3.5%).
- Acute phase mortality is 1.7%. Late complications include tracheal stenosis (8-12% severe), granulomas, chronic bronchial infections, and psychological/social issues in patients with permanent cannulas.
Impact:
- Early diagnosis and intervention for complications like stenosis and infections can improve outcomes.
- Optimizing tracheotomy equipment and technique can reduce complications and enhance patient quality of life.