Gambaran Penderita dengan Tindakan Trakeostomi di RSUP H Adam Malik Medan Tahun 2006-2010

Abstract

Background: Tracheostomy is a surgical procedure to create an artificial airway (stoma) in trachea to facilitate breathing. Tracheostomy is one of the most frequently performed surgical procedures in the critically ill patients. Purpose: Knowing the description patients who underwent tracheostomy procedure in HAdam Malik Hospital Medan 2006- 2010. Methods: This study design is a descriptive study using case series design. Sampling is a retrospective technique by colecting patients data who underwent tracheostomy procedure in H Adam Malik Hospital Medan from 2006 to 2010 that obtained.from medical record Result and Discussion: Tracheostomy procedure in H Adam Malik Hospital Medan period of 2006-2010 were 83 patients, male (83,1%) and female (16,9%). The most common age group was 46-60 year (36,1%), followed by~ 61 year (32,5%), 16-30 year (13,3%), 31-45 year (10,9%) and ::; 15 year (7,2%). The most common indication for tracheostomy was upper respiratory tract obstruction (83, 1 %) that most caused by laryngeal tumour. The elective tracheostomy (62,7%) is higher than emergency tracheostomy (37,3%). The most common skin incision that used was horizontal incision (61,4%). Lower tracheostomy was the most common done (38,5%). Surgical tracheostomy most often performed by Otorhinolaryngology Department (88, 0%). Complication rate was 43,4% with late complication due to thick secretions was the most common complication. Decannulation was successfull in 14,5% of patients with median rate 48 days