Tracheostomy cancellation reasons in critically ill patients: a five-year retrospective study

Talal AlKhatib., Anees A. Sindi., Bhaa Maher Simbawa and Sultan Hudaib Aljaid

Tracheostomy is one of the most common procedures performed in intensive care units (ICUs). The cancellation of a tracheostomy delays a patient’s discharge from the ICU, which results in further expenses and prevents the admission of a new patient requiring treatment in the ICU. The aim of the current study was to investigate the reasons for tracheostomy cancellation in patients at King Abdulaziz University Hospital. We used a retrospective study design, and reviewed the records of patients with cancelled tracheostomy procedures between 2010 and 2015. The common causes of cancellations were operating room (OR)-related (43.85%), patient-related (10.52%), surgeon-related (5.26%), and anesthesia-related (4.48%). With regard to OR-related cases, one of the reasons was that urgent emergency cases were prioritized over tracheostomy procedures. The most common patient-related reason was a low hemoglobin level (less than 10g/gL). The procedure was sometimes cancelled by the surgeon, and sometimes it was cancelled because the patient required other services such as hematological or neurological assessments.

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