Tracheostomy is a life saving and important
surgical procedure throughout the world from long
since. Minimum number of study were conducted on
tracheostomy in our setting. Based on number, probably
Dhaka Medical College Hospital is one of the top
institute in the world, where highest number of
tracheostomy is being operated (3-10 per day). So, our
purpose of this study is to describe our own experiences,
regarding indication, complication , decanulation,
morbidity and mortality following tracheostomy and to
compare the results with the institutes of other countries
of the world.
It is a prospective observational study, conducted at
Dhaka Medical College Hospital from July 2014 to June
2019. Data were collected from the Registers of
emergency and elective operation theatre, indoor,
intensive care unit (ICU) and medical record room
(where file of all patients are being kept for long time).
SPSS software was used for data processing and
analysis. Prior to the study ethical approval was
obtained from Ethical review committee.
Total 257 patients were selected for the study.
Among them 210 (81.71%) were male and 47 (18.29%)
were female. Most of the patients were elderly, above
sixty years. Commonest indication for tracheostomy
were upper airway obstruction due to laryngeal or other
head neck cancer in 70.04% of patients. Next important
indication was upper airway obstruction due to trauma
in 24.9% cases. Most of the time (82.88%) we had to
perform Emergency tracheostomy. Longitudinal or