TRACHEOSTOMY

COMPLICATIONS IN UPPER AIR WAY MANAGEMENT AS COMPARED TO ENDOTRACHEAL INTUBATION

Abstract

Objective: This study involves the review of management of patients who
required temporary airway support and were treated either with tracheostomy or endotracheal
intubatione in ear, nose, throat. Department and intensive care unit of Multan Medical & Dental
College Ibne Sina Hospital Multan. Another important aspect of the study is to compare the
results of tracheostomy with endotracheal intubation . Study Design: Retrospective and
descriptive. Place and Duration of Study: Multan Medical and Dental College Ibnae e Sina
Hospital Multan. From 2012 to 2013. Patients and Method: Twenty consecutive patients who
had operation of tracheostomy whether emergency or elective, and were admitted in ENT
ward of Ibne Sina Hospital Multan and twenty patients were intubated with endotracheal tube in
the intensive care unit of the hospital. Results: The main indications of tracheotomy were upper
air way obstruction (80)% and mechanical respiratory insufficiency (20)%. Indications of
endotracheal intubation were mechanical respiratory failure(80)% and ventilatory insufficiency
due to retention of secretions (20)%. Tracheostomy is better choice in prolonged air way control
more than three 3 weeks. But endotracheal intubation is found to be better choice in early and
quick management of short term airway control up to 3 weeks.