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Canadian Journal of Anesthesia, Vol 19, 478-485, Copyright © 1972 by Canadian Anesthesiologists' Society

Tracheostomy in the Management of Respiratory Problems in a Developing Country: Astudy at the Lagos University Teaching Hospital

DOROTHY J. O. FFOULKES- CRABBE M.B.B.S.(LOND.), F.F.A.R.C.S.1 and ELIZABETH E. EMMA M.D.(LOUVANIUM)1

1 Department of Anaesthesia, College of Medicine of the University of Lagos, Private Mail Bag 12003, Lagos, Nigeria

A retrospective study was carried out of 301 tracheostomies performed in the Lagos University Teaching Hospital over a seven year period with object of determining the usage, complication rate and therrapeutic value of this operaqtion. In their order of frequency during the period under review, the main indications for the operation were (1) relief of upper airway obstruction, (2) facilitation of intermittent positive pressure ventilation, (3) for tracheal and bronchial toilet and (4) for the protection of the airway. The number of tracheostomies performed declined in the later part of the period under review. 192 complications occurred following 146 tracheostomies - an incidence of 47.1 per cent.

The most common cause of complication was infection. Fifteen deaths were directly due to the complications of tracheostomy, being a mortality rate of 5 percent. The value of tracheostomy outweighted the chances of complications.

Note:

Present address: Department of Anaesthesia, University of Toronto, Toronto, Canada.






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Copyright © 1972 by the Canadian Anesthesiologists' Society.