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TITLE:

A COMPARATIVE STUDY ON LATE AND EARLY COMPLICATIONS OF PEDIATRIC TRACHEOTOMY

AUTHORS:

Jehan Zaib Naseer, Shama Naseer, Farah Naseer

ABSTRACT:

Objectives: The aim of this research work was to provide a comparison of early & late complications associated with tracheotomy in the patients of pediatric age on the basis of surgical methods. Methodology: In this research work, we retrospectively investigated the comparison between the characteristics of demography, techniques of surgeries from clinical files of pediatrics and associated complications developed after surgical intervention. Results: Total 152 patients out of 273 were present with development of complications after application of tracheotomy. Among total patients, 75 patients were present with complications of early stage and 77 patients were present with late complications. Results gathered about early complications displayed an important difference between bleeding & skin incision and accidental de-cannulation; sub-cutaneous emphysema and tracheal incision; duration of surgery & accidental de-cannulation and issues of ventilation/tube; skill level of surgeon and bleeding. Results obtained for late complications stated an important difference between time of intubation and stomal tracheal granulation; stomal infection and tracheal incision; skill level of surgeon and stomal tracheal granulation. Conclusions: In tracheotomy on pediatrics, skin incision & tracheal incision, experience of surgeon, time of tracheotomy and duration of intubation are much significant for the development of early as well late complications associated with this technique. Keywords: Incision, Intervention, Ventilation, Bleeding, Cannulation, Tracheal, Emphysema, Tracheotomy, Pediatrics.

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