Indications and Immediate Outcomes of Tracheostomy in Rwanda

Niyonzima Charles1, Kaitesi Batamuliza Mukara2

1.   Ministry of Health, Rwanda

2.   ENT, Head & Neck Department, University of Rwanda, College of Medicine and Health Sciences

Correspondence to: Dr. Mukara Kaitesi University of Rwanda, Kigali University Teaching Hospital, P.O Box 655,Kigali, Rwanda.

Email: kaibat@hotmail.com

Abstract

Introduction:

Tracheostomy is performed as alternative to the natural breathing airways for upper airway obstruction, pulmonary toilet or for protecting the  larynx. It is  a common  procedure in  surgical departments. Objectives: The study aimed at evaluating the  immediate outcomes of tracheostomy and incidence of immediate complications associated with tracheostomy.

Methods: Using a   questionnaire, prospective  data  was  collected  from  patients,  who presented in Ear, Nose and Throat department at the Kigali University Teaching Hospital (KUTH). Results: 29 patients underwent a  tracheostomy.  The age  rang was 4 to 77 years, mean of 37 years, 82.8% were aged above 18 years. Male to female ratio was 3.8:1. The incidence of tracheostomy was 9.5%. The most common indication was prolonged intubation accounting for 55.2% of cases. No intra -operative complications  were noted.  No  tracheostomy  related mortality occurred within 24 hours after the procedure. 86.2% patients were clinically stable after the procedure while 13.8% were unstable due to their primary medical conditions.  Conclusion:  Prolonged intubation  is the most common indication for tracheostomy, most of the times   performed as   an   elective procedure. The procedure is safe for all patients even in resource poor settings and post-operative complications are minimal.

 

Keywords: Tracheostomy, Indications, Immediate outcome, Complications, Rwanda

Ann Afr Surg. 2018;15(2):52-56

DOI:http://dx.doi.org/10.4314/aas.v15i2.4

© 2018 Author. This work is licensed under the Creative Commons Attribution 4.0 International License.

 Conflicts of Interest: None

Funding: None

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