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Dr Fazal Rehman Arif Raza Khan Asad Ullah Arif Ghareeb Nawaz


Objectives: To evaluate the early complications of tracheostomy and formulate the future strategy for avoiding complications
and effective management of tracheostomy.
Material and Methods: This study was conducted at the department of ENT, Khyber Teaching Hospital, Peshawar,
Pakistan from November 2016 to October 2017. In this study, a total 34 patients included for which elective/emergency
tracheostomy was planned. All the demographic data was collected on a predesigned proforma and written informed
consent was taken.
Results: In this study of 34 patients, the age ranged from 1 year to 80 years comprising of mostly in the age limit of
1-20 years (61.7%). The male to female ratio was 1:1. After the initial assessment of all the patients, the procedure was
explained to all the participants. Baseline investigations were done to assess the fitness for anesthesia. In 23.5% of
patients the procedure was performed due to presence of Respiratory distress followed by road traffic accident/head
injury in 28% of cases. Rest of the causes included laryngeal carcinoma with dyspnea, parapharyngeal carcinoma,
Multi Nodular Goitre (MNG), Gullian Barre Syndrome (GBS), diphtheria, tetanus, poisoning,respiratory papilloma and
post thyroidectomy with bilateral vocal cord paralysis.
Conclusion: The tracheostomy in the operation theater is a simple and safe procedure that offers many advantages
in term of safety and efficacy.

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