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Complications and Their Management

LT John Y. Chew, MC, USNR; CDR Robert W. Cantrell, MC, USN

Arch Otolaryngol. 1972;96(6):538-545.

Abstract
In a review of 1,928 tracheostomies, 100 of which were performed at the Naval Hospital, San Diego, the overall complication rate is 15.8%. The most common complications in order of frequency are hemorrhage, infection, obstruction, and displaced tube. The overall mortality rate is 1.6%.

The two most common causes of death are hemorrhage and displaced tube. A technique of tracheostomy is described which would decrease the incidence of mortality in the displaced tube. It is clear from this review that there is high morbidity and mortality following tracheostomy.

Author Affiliations
San Diego, Calif

From the Otolaryngology Service, Naval Hospital, San Diego, Calif.

Footnotes
Accepted for publication April 5, 1972.

Read before the Southern California Chapter, Otolaryngology Section, American College of Surgeons, Santa Barbara, Calif, Jan 15, 1972.

The views expressed herein are those of the authors and do not necessarily reflect the views of the US Navy or the Department of Defense.

Reprint requests to US Naval Hospital, San Diego, Calif 92134 (LT Chew).

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