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A Tracheotomy in the Intensive Care Unit  

Cho Kang-Han (Department of Otolaryngology-Head and Neck Surgery, Chung-Ang University School of Medicine)
Lim Do-Hyung (Department of Otolaryngology-Head and Neck Surgery, Chung-Ang University School of Medicine)
Lee Kyu-Suk (Department of Otolaryngology-Head and Neck Surgery, Chung-Ang University School of Medicine)
Paik Sang-Heum (Department of Otolaryngology-Head and Neck Surgery, Chung-Ang University School of Medicine)
Yang Hoon-Shik (Department of Otolaryngology-Head and Neck Surgery, Chung-Ang University School of Medicine)
Kim Chun-Gil (Department of Otolaryngology-Head and Neck Surgery, Chung-Ang University School of Medicine)
Publication Information
Korean Journal of Head & Neck Oncology / v.18, no.1, 2002 , pp. 71-75 More about this Journal
Abstract
Background and Objectives: The tracheotomy is one of the most essential surgical procedures performed in the intensive care unit (ICU). The tracheal stenosis, as a complication following endotracheal intubation or tracheotomy, has been the subject of considerable recent investigation. Many different methods have been developed to avoid the tracheal stenosis but there is still controversy about the tracheal incisions. We had performed tracheotomy using a vertical elliptical tracheal incision in the ICU to evaluate its efficiency and safety. Materials and Methods: 191 patients who underwent the tracheotomy in the ICU between 1995 and 2000 were reviewed retrospectively by chart records and interviews. Results: The complications were reported such as bleeding, infection, subcutaneous emphysema, pneumothorax, tracheoesophageal fistula and tracheal stenosis. The total numbers of complications were 35 cases (18.3%) and the tracheal stenosis was developed in 4 patients. The characteristics of tracheal stenosis are as follows. Conclusion: The vertical elliptical tracheal incision is the safe and reliable methods in ICU patients compared with other methods, but other factors are also important in preventing the complications.
Keywords
Tracheotomy; ICU; Tracheal stenosis;
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