Background: Tracheostomy tube displacement is a major cause of morbidity and mortality related to airway management in critical care unit. The primary aim of this study was to conduct analysis of life threating complication due to tracheostomy dislodgement and develop a protocol to prevent it.
Place: Nepal Mediciti hospital bhaisepati, Kathmandu
Duration of study: 1 year from September 2018 to September 2019
Study type: retrospective analytical study
Result: The incidence of tracheostomy dislodgement was 7 out of 52 (13.4%). 4 out of 7 tracheostomy dislodged patient (42.8%) patient had developed pneumothorax. 4 patients who had tracheotomy tube displacement had died with mortality of 57.1%. Patients undergoing intracranial surgery had higher rate of tracheostomy tube displacement than other patients.
Conclusion: Although tracheostomy tube dislodgement is a rare condition it has a very poor outcome. We found its incidence to be higher in our setup. There is lack of knowledge about tracheostomy tube care and management of its complication among care providers, doctors and nurses. A multidisciplinary approach is required to prevent and manage this dreadful condition. Each institution should have a multidisciplinary team and develop its own emergency management protocol.
tracheostomy dislodgement, tracheostomy, tracheostomy care