Complications of tracheostomy and their prevention in surgical patients

DOI: https://doi.org/10.29296/25877305-2021-10-10
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Issue: 
10
Year: 
2021

V. Pismennyi(1), Candidate of Medical Sciences; A. Seregin(1), Candidate of Medical Sciences;
Professor E. Krivoshchekov(1), MD; Professor V. Romanov(2), MD; M. Shteiner(1), MD; Associate Professor V.
Tsymbalyuk(3), Candidate of Medical Sciences; I. Pismennyi(1); T. Grigoryeva(4), Candidate of Medical
Sciences; G. Alyapyshev(5) (1)Samara State Medical University 2«Reaviz» Medical University, Samara
(3)Novokuibyshevsk Town Hospital (4)Samara Regional Oncology Dispensary, Samara (5)Ulyanovsk Regional
Clinical Hospital, Ulyanovsk

The active development of resuscitation and intensive-care treatments allows surgical interventions to be performed in very sick patients with various surgical diseases. Patients with multiple injuries often require long-term mechanical ventilation, which needs to have a tracheostomy. Objective: to describe various cases of tracheostomy complications, as well as preventive measures used for their elimination. Material and methods. The paper describes the experience in treating patients with severe surgical disease, including head and neck tumors, who were treated in the Intensive Care Unit (ICU), V.D. Seredavin Samara Regional Clinical Hospital, and in the Surgical Unit, Railway Clinical Hospital at the Samara Railway Station, in 2009-2019. A study group included patients who had undergone tracheostomy during their ICU stay. The paper describes clinical cases of tracheostomy complications and methods for their elimination using the authors’ patents: Conclusion. Despite improvements in methods for surgical intervention and postoperative management of patients, the number of complications continues to remain high. To reduce the frequency of complications, it is necessary to use modern diagnostic methods and recent developments in alleviating disease in a patient who has undergone a tracheostomy.
Keywords: 
surgery
tracheostomy
complications
surgical intervention
clinical case
respiratory disorder
patent

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