Evaluation of Acute Upper Airway Obstruction and the Role of Emergency Awakening Tracheostomy in Pathumthani Hospital
Keywords:
upper airway obstruction, head and neck cancer, tracheostomyAbstract
Objective: Upper airway obstruction is a life-threatening condition in Phatumthani Hospital. A portion of patients with upper airway obstruction need to get the emergency care of tracheostomy. This study aims to study age, sex, risk factors, and causes of patients who came with stridor and received emergency awakening tracheostomy in Pathumthani Hospital.
Methods: Retrospective descriptive study was done in consecutive series of patients underwent emergency tracheostomy from October 2019 to September 2022.
Results: A total of 105 patients were included in this study. Men were founded more than women, age ranged from 41–60 years. Oropharyngeal carcinomas were the most common cause (29.5 percent). All patients of this group had undergone tracheostomy with average operation time of 43 minutes included further operations such as biopsy or esophagoscopy. Average time admitted in the hospital was 7 days due to post operative self-care instructions and patients’ self-condition adjustment.
Conclusion: Numbers of patients who received emergency awakening tracheostomy were approximatly equal every year. Most common cause of patients who came with stridor and received emergency awakening tracheostomy is head and neck carcinoma. Health promotions to communities are crucial to prevent morbidities.
References
Gong H, Wu J, Sun J, et al. Preoperative tracheotomy in the treatment of upper airway obstruction of patients with advanced stage supraglottic carcinoma. American J
Otolaryngol 2022;43:3:103381. doi: 10.1016/j.amjoto.2022.103381.
Cathain EO, Gaffey MM, Upper airway obstruction [internet]. Florida: StatPearls; 2022 [cited 2022 Jan 07]. Available from: URL: https://www.ncbi.nlm.nih.gov/books/NBK564399/
Kumar S, Salib R. Upper airway obstruction. In: Laurent GJ, Shapiro SD, editors. Encyclopedia of respiratory medicine. Massachusetts: Academic Press; 2006. 375–85.
ปารยะ อาศนะเสน. การเจาะคอ (tracheostomy) ตอนที่ 1 [อินเทอร์เน็ต]. 2559 [เข้าถึงเมื่อ วันที่ 1 มกราคม 2565]; เข้าถึงได้จาก: URL: https://www.si.mahidol.ac.th/Th/healthdetail.asp?aid=1078
Tarnow–Mordi WO, Berrill AM, DarbyCW, et al. Precipitation of laryngeal obstruction in acute epiglottitis. Br Med J (Clin Res Ed) 1985;290(6468):629. doi: 10.1136/bmj.290.6468.629.
อภิชาติ บูรณะวังศิลา. การบำบัดภาวะอุดกั้นทางเดินหายใจส่วนบน โดยการทำ Tracheostomy. วารสารศูนย์การศึกษาแพทยศาสตร์คลินิก โรงพยาบาลพระปกเกล้า 2553;27(4):256–61.
Weissbrod PA, Merati AL. Upper airway stenosis, evaluation and management. In: Rosen CA, Johnson JT, editors. Bailey’s Head and Neck Surgery Otolaryngology. 5th ed. Philadelphia: Lippincott Williams and Wilkins; 2014. 879–92.
Ellington TD, Henley SJ, Senkomago V, et al. Trends in incidence of cancers of the oral
cavity and pharynx - United States 2007–2016. MMWR Morb Mortal Wkly Rep 2020;69:433–8. doi: 10.15585/mmwr.mm6915a1.
Gormley M, Creaney G, Schache A, et al. Reviewing the epidemiology of head and neck cancer: definitions, trends and risk factors. Br dent j 2022;233(9):780–6. doi: 10.1038/s41415-022-5166-x.
Paul WF, Sinha P, Harréus U. Malignant neoplasms of the oropharynx. In: Flint
PW, Editors. Cummings otolaryngology head and neck surgery. 6th ed. Saunders: Elsevier;
1432–53.
Bhatti NI. Surgical management of difficult airway. In: Flint PW, Editors. Cummings
otolaryngology head and neck surgery. 5th ed. Philadelphia: Mosby Elsevier; 2010. 122–8.
Fine KE, Wi MS, Kovalev V, et al. Comparing the tracheostomy dislodgement and complication rate of non-sutured neck tie to skin sutured neck tie fixation. Am J Otolaryngol 2021;42(1):102791. doi: 10.1016/j.amjoto.2020.102791.
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ลิขสิทธิ์บทความเป็นของผู้เขียนบทความ แต่หากผลงานของท่านได้รับการพิจารณาตีพิมพ์ลงวารสารแพทย์เขต 4-5 จะคงไว้ซึ่งสิทธิ์ในการตีพิมพ์ครั้งแรกด้วยเหตุที่บทความจะปรากฎในวารสารที่เข้าถึงได้ จึงอนุญาตให้นำบทความในวารสารไปใช้ประโยชน์ได้ในเชิงวิชาการโดยจำเป็นต้องมีการอ้างอิงถึงชื่อวารสารอย่างถูกต้อง แต่ไม่อนุญาตให้นำไปใช้ในเชิงพาณิชย์
