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Anales de Otorrinolaringología Mexicana

Anales de Otorrinolaringología Mexicana
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2011, Number 3

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Otorrinolaringología 2011; 56 (3)

Tracheostomy. Experience with 178 patients

Vargas JJL
Full text How to cite this article

Language: Spanish
References: 11
Page: 128-133
PDF size: 172.29 Kb.


Key words:

tracheostomy, percutaneous.

ABSTRACT

Objective: To analyze the results of the tracheostomy performed with conventional technique at Hospital Central Norte, Pemex, and compared with data from the world literature to determine whether to continue with this mode or switch to another.
Material and method: We made a retrospective, longitudinal, descriptive and observational study of patients admitted to different hospital services, who had indication for tracheostomy by the otolaryngology service, from January 29, 2001 to June 2, 2010.
Results: 178 procedures were performed of which we had access to the electronic clinical file of the Institution. In three of them we did not have any information about their postoperating evolution because they were non-institutional patients. Major complications observed were: severe bleeding in three cases (1.6%) and tracheal stenosis in three cases (1.6%). Minor complications were: minor bleeding in 10 patients (5.6%), infection of the stoma in 16 cases (8.9%) and mild subcutaneous emphysema in six patients (3.3%).
Conclusions: Surgical techniques of the conventional procedure and percutaneous tracheostomy are well established, but –based on the results– we consider that the conventional technique is still the safest.


REFERENCES

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  2. Wood D. Tracheostomy. Chest Surg Clin North Am 1996;6:749-764.

  3. Kenigsberg K. Tracheostomy in infants. Semin Thorac Cardiovasc Surg 1994;6:196-199.

  4. Johnson J, Rood S, Stool S, et al, editors. Tracheotomy: A self-instructional package from the Committee on Continuing Education in Otolaryngology. 2nd ed. American Academy of Otolaryngology, Head and Neck Surgery Foundation, Inc. Rochester, MN: Custom Printing; 1988.

  5. Bourjeily G, Habr F, Supinski G. Review of tracheostomy usage: types and indications. Part I. Clin Pulm Med 2002;9(5):267-272.

  6. Vargas Jiménez JL, Zárate García RA, Hernández Palestina MS. Traqueotomia. Experiencia con 315 pacientes. An Orl Mex 1999;44(3):163-166.

  7. Campbell JB, Watson MG, Povey L, et al. Minitracheotomy and laryngeal function. J Laryngol Otol 1988;102:49-52.

  8. Ballesteros AF. Ponencia Oficial del LVIX Congreso Nacional de la Sociedad Española de Otorrinolaringología y Patología Cérvicofacial. 2008;189-202.

  9. Lindholm CE. Choice of tracheostomy tube. In: Myers EN, Stool SE, Johnson JT, editors. Tracheostomy. New York: Churchill Livingstone; 1985:125-146.

  10. Bourjeily G, Habr F, Supinski G. Review of tracheostomy usage: types and indications. Part II. Clin Pulm Med 2002;9(5):273-278.

  11. Oliver E, Gist A, Gillespie B. Percutaneous versus surgical tracheotomy: an updated metaanalysis. Laryngoscope 2007;117:1570-1575.




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Otorrinolaringología. 2011;56