Proceedings of the 19 th Otorhinolaryngology head and neck surgery national congress (PERHATIKL 2022)

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Characteristics of Patient with Emergency Tracheostomy in the Covid-19 Era

Authors
Y. Erick Maulana1, *, S. Raden Ayu Hardianti1, S. Ongka Muhammad1, *
1Department of Otorhinolaryngology - Head and Neck Surgery, Faculty of Medicine, Padjadjaran University / Hasan Sadikin General Hospital, Bandung, Indonesia
*Corresponding author.
*Corresponding author.
Corresponding Authors
Y. Erick Maulana, S. Ongka Muhammad
Available Online 31 October 2023.
DOI
10.2991/978-94-6463-280-4_13How to use a DOI?
Keywords
Emergency tracheostomy; tracheostomy; airways obstruction
Abstract
Background

Emergency tracheostomy is surgical procedure which is increasingly being performed. Tracheostomy is surgical opening in trachea which creating opening in anterior tracheal wall and converting it into stoma. Emergency tracheostomy is indicated when an upper airway obstruction cases. Objective: To determine characteristic of patient with emergency tracheostomy in dr. Hasan Sadikin General Hospital during covid 19 era. Methods: We retrospectively studied the patient who underwent emergency tracheostomy from January 2020 to December 2021 by an otolaryngologist doctors at dr. Hasan Sadikin General Hospital. Characteristics, indication, covid 19 test status and complication of patients were reviewed. Results: The study included 260 patients (161 men and 99 women) with median age of 50 of years. Over half presented with dyspnea (58%). Underlying diseases cause of upper airways obstruction are head and neck cancer (65% patients), deep neck infection (22% patients), and laryngotracheobronchitis (5% patients). Stridor with suprasternal retraction was the most frequent symptom (62%). Complication occurred in 31 (12%) patients: subcutaneous emphysema in 24(77%), hemorrhage in 5(16%), and infection in 2(6%). Conclusion: Emergency tracheostomy is life-saving procedure for patient with upper airways obstruction. The challenging during this pandemic must be considered such as PPE availability, negative pressure airflow room, and multidisciplinary team. It is safe and effective with low complication rate procedure to secure an airways in this patients.

Copyright
© 2023 The Author(s)
Open Access
Open Access This chapter is licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/), which permits any noncommercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license and indicate if changes were made.

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Volume Title
Proceedings of the 19 th Otorhinolaryngology head and neck surgery national congress (PERHATIKL 2022)
Series
Advances in Health Sciences Research
Publication Date
31 October 2023
ISBN
10.2991/978-94-6463-280-4_13
ISSN
2468-5739
DOI
10.2991/978-94-6463-280-4_13How to use a DOI?
Copyright
© 2023 The Author(s)
Open Access
Open Access This chapter is licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/), which permits any noncommercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license and indicate if changes were made.

Cite this article

risenwbib
TY  - CONF
AU  - Y. Erick Maulana
AU  - S. Raden Ayu Hardianti
AU  - S. Ongka Muhammad
PY  - 2023
DA  - 2023/10/31
TI  - Characteristics of Patient with Emergency Tracheostomy in the Covid-19 Era
BT  - Proceedings of the 19 th Otorhinolaryngology head and neck surgery national congress (PERHATIKL 2022)
PB  - Atlantis Press
SP  - 74
EP  - 78
SN  - 2468-5739
UR  - https://doi.org/10.2991/978-94-6463-280-4_13
DO  - 10.2991/978-94-6463-280-4_13
ID  - ErickMaulana2023
ER  -