Tracheostomy complications in otorhinolaryngology are rare despite the critical airway

Show full item record



Permalink

http://hdl.handle.net/10138/340315

Citation

Ruohoalho , J , Xin , G , Bäck , L , Aro , K & Tapiovaara , L 2021 , ' Tracheostomy complications in otorhinolaryngology are rare despite the critical airway ' , European Archives of Oto-Rhino-Laryngology , vol. 278 , no. 11 , pp. 4519-4523 . https://doi.org/10.1007/s00405-021-06707-7

Title: Tracheostomy complications in otorhinolaryngology are rare despite the critical airway
Author: Ruohoalho, Johanna; Xin, Guanyu; Bäck, Leif; Aro, Katri; Tapiovaara, Laura
Contributor organization: HUS Head and Neck Center
Korva-, nenä- ja kurkkutautien klinikka
Faculty of Medicine
Department of Ophthalmology and Otorhinolaryngology
Clinicum
Date: 2021-11
Language: eng
Number of pages: 5
Belongs to series: European Archives of Oto-Rhino-Laryngology
ISSN: 0937-4477
DOI: https://doi.org/10.1007/s00405-021-06707-7
URI: http://hdl.handle.net/10138/340315
Abstract: Purpose To identify complications of surgical tracheostomies in otorhinolaryngologic patients and adjust our processes to be properly prepared in the future. Methods We reviewed retrospectively all surgical tracheostomies (n = 255) performed by otolaryngologist-head and neck surgeons at Helsinki University Hospital between Jan 2014 and Feb 2017. Patient demographics, surgical details, surgical and medical complications, and tracheostomy-related mortality were recorded from the hospital charts. Risk factors for complications were assessed. Results Altogether, 55 (22%) complications were identified in 39 (15%) patients, with pneumonia, accidental decannulation, and bleeding being the most common. No patient or surgery-related factor reached significance in overall complication risk factor analysis. Medical complications were more common after elective tracheostomies compared to emergency procedures (10.6% vs. 3.5%, p <0.05). Majority of complications (78%) were classified as mild or moderate according to Clavien-Dindo. Only 2 (0.8%) tracheostomy-related deaths were recorded. Conclusion In otorhinolaryngologists service, severe complications and tracheostomy-related deaths are very rare. Reducing their prevalence even further with careful planning is possible.
Subject: Tracheostomy
Mortality
Morbidity
ENT
Tracheotomy
Airway
3125 Otorhinolaryngology, ophthalmology
Peer reviewed: Yes
Rights: cc_by
Usage restriction: openAccess
Self-archived version: publishedVersion


Files in this item

Total number of downloads: Loading...

Files Size Format View
Ruohoalho2021_A ... tomyComplicationsInOto.pdf 550.6Kb PDF View/Open

This item appears in the following Collection(s)

Show full item record