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Outcome of Early Tracheostomy in the Management of Grade II (Moderate) Tetanus Patient

Outcome of Early Tracheostomy in the Management of Grade II (Moderate) Tetanus Patient

Nukhbat-Ullah Awan1*, Muhammad Sohail2, Zeeshan Sarwar3, Muhammad Mustahsen Bashir4, Muhammad Abbas Khokhar5 and Asad Aizaz Chatha

1Assistant Professor, Department of ENT, KEMU/ Mayo Hospital Lahore, Pakistan; 2Assistant Professor, Department of Plastic Surgery, KEMU/ Mayo Hospital, Lahore, Pakistan; 3Assistant Professor of Surgery, KEMU/ Mayo Hospital, Lahore, Pakistan; 4Associate Professor and HOD of Plastic Surgery, KEMU/ Mayo Hospital, Lahore, Pakistan; 5Assistant Professor of Oncology, KEMU/ Mayo Hospital, Lahore, Pakistan; 6Assistant Professor, Department of Oral and Maxillofacial Surgery, KEMU/ Mayo Hospital Lahore, Pakistan.

Nukhbatawan786@gmail.com 

ABSTRACT

The study was carried out in ENT Department ofKEMU, Lahore from December 2012 to November 2015 to assess theoutcome of early tracheostomy in grade II (moderate) tetanus patients.A total of fifty-six adults of both genders, diagnosed as grade II tetanus patients, were included. Clinical characteristics, mode of trauma, incubation period, vaccination status and investigations were recorded. All patients were managed in ICU and early tracheostomy was performed in addition to standardized medical treatment. A total of 86% males with age 32±8.3 years presented the study participants. Results demonstrated thatmost common mode of trauma was road traffic accident, and majority (54%) of patients were never vaccinated. Incubation period noted was 7±1 days. Tracheostomy was performed in 16±3 hours of admission and tracheostomy decannulation was performed in 23±3 days. Patients were discharged in 27±3 days.Weconcludethat early control of airway with tracheostomy in grade II tetanus patients helped in better patient management with early recovery and decreased hospital stay with minimal morbidity. 

 

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Annals of King Edward Medical University

March

Vol. 24, Iss. 1, Pages 1-153

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