Journal of AdvancedMedical and Dental Sciences Research

Aim: The objective of present study is to study the various underlying disease aspects of indications and the outcomes of tracheostomy in ICU. Material and methods: This cross-sectional study was done in ICU, Department of ENT. Total 50 patients who underwent elective open tracheostomy in ICU by ENT surgeons for various indications were include in this study. Patients details (age and sex), complete clinical history pertaining to the cause of prolong intubation/ indication of tracheostomy, timing and complications was compiled and analyzed. Results:Out of 50 patients 30` (60%) were male and 20 (40%) were female and male to female ratio was 1.5:1.The age ranges of patients from 12-72 years and highest frequency were 40-50 years age group 13 (26%) followed by 11(22%) were from 20-30 years age group. Out of 50 cases Head injury with h/o RTA was the frequent indication 17 (34%) and Post-operative case of intracranial space occupying lesion (ICSOL) was the second most indication 12 (24%). Out of 50 cases over all complications was 16 (32%) and most common complication was surgical emphysema 5 (10%) followed by haemorrhage 4 (8%), wound infection 4 (8%) and tube displacement 3(6%). Conclusion: Tracheostomy in ICU is an important and safe procedure if prolonged endotracheal intubation is advised for varying underlying causes.