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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
PubMed
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.

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Treatment of respiratory failure using minitracheotomy and intratracheal oxygenation in selected patients with chronic lung disease.

Intensive care medicine·1996

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.

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