Clinical characteristics of tracheotomy in the patients with critical diseases and obesity aged 80 years and over
10.3760/cma.j.issn.0254-9026.2012.05.014
- VernacularTitle:80岁及以上危重病肥胖患者气管切开术的临床观察
- Author:
Hong CHEN
;
Weining HUANG
;
Yi YANG
;
Lei ZHANG
- Publication Type:Journal Article
- Keywords:
Obesity;
Tracheotomy;
Critical illness
- From:
Chinese Journal of Geriatrics
2012;31(5):399-401
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the clinical characteristics of tracheotomy in patients with critical diseases and obesity aged 80 years and over. Methods A total of 120 patients with critical diseases and obesity undergoing tracheotomy from July 2006 to August 2011 were retrospectively reviewed,and divided into advanced age group(aged 80-99 years,n=60) and control group(aged 60-79 years,n=60).Surgery time,operation preparation,surgery skill and complication after surgery were compared between the two groups. Results A total of 60 patients undergoing tracheotomy were successfully performed by relative surgery skills according to characteristics of critical obesity in advanced age group.There was 1 case (1.7％) and 0 case with trachea cannula exodus,3 cases (5.0％) and 4 cases(6.7％) with cuff leak,4 cases (6.6％) and 3 cases(5.0％) with stoma bleeding,5 cases (8.3％) and 7 cases (11.4％) with subcutaneous emphysema in advanced age and control groups,respectively.Total complication rate was similar between the two groups of patients [13 cases (21.7％) vs.14 cases (23.3％),x2 =1.00,P＞0.05]. Conclusions Individualized procedure of tracheotomy may reduce complication of patients with critical diseases and obesity aged 80 years and over.
