A significant correlation was found between bleeding (p<0.020) and horizontal incision and between accidental
decannulation (p<0.001) and vertical incision when a comparison was made between early complications and skin incision.
Outcome measures noted in terms of successful
decannulation, morbidity or mortality.
However, a vast majority of the minor and major complications except accidental
decannulation and pneumothorax were not found to be significantly high when analyzed individually.
Decannulation was achieved in the PICU (n=4) and after PICU discharge (n=4).
The current approach to TT weaning and
decannulation is not straightforward (Christopher, 2005), varies in local and community practice, and results in varied patient outcomes (Ceriana et al., 2003; Johnson, 2010; Mestral et al.
Data including the age, sex, cause for intubation and tracheostomy, days of intubation/ventilation, APACHE II Score, duration of procedure, lowest intraprocedural SpO, lowest intraprocedural BP, intraprocedural complications such as bleeding, loss of airway for more than 20 seconds, subcutaneous emphysema, tracheal ring fracture and paratracheal placement of the tube; postprocedural complications such as accidental
decannulation, pneumothorax, hemorrhage, stomal granulation, infection of stoma or a new lung infiltrate within 48hours of tracheostomy; duration of tracheostomy; planned
decannulation and mortality were recorded.
The lack of workup for 4-drug resistant hypertension after our patient's ECMO
decannulation, or during her single prenatal visit, significantly increased mortality risks.
Liberation from home mechanical ventilation and
decannulation in children.
The presence of a specialized team with a language-speech pathologist showed important results in Montreal, with lower number of calls due to complications, such as tube obstruction; reduction of
decannulation time; increase of patients undergoing
decannulation from 59.4% to 68.5%, and increase in the placement of speaking valves from 19.4% to 67.4% [25].
The fourth part contained details about tracheostomy such as cause, level of tracheostomy, problems faced, postoperative complications and their managements, total duration of procedure, date of
decannulation, if death occurred, then cause of death, and duration of survival time and voice recovery time.
(37) Simlarly, botulinum toxin injections can facilitate capping trials of the tracheotomy tube and increase the probability of
decannulation (removal of the tracheotomy tube).