EVALUATION OF BLEEDING RISK AND EARLY COMPLICATIONS OF TRACHEOSTOMY SURGERY IN PATIENTS USING ANTIPATELET AND/OR ANTICOAGULANT THERAPY AT CAN THO CENTRAL GENERAL HOSPITAL IN 2023-2024
Main Article Content
Abstract
Background: Tracheostomy is a classic surgical procedure that creates a direct airway access to the cervical trachea through the cartilaginous rings. Some patients receiving antiplatelet and/or anticoagulant therapy may occasionally require a tracheostomy. Objectives: Survey of clinical features, drug usage characteristics and determination of the incidence of bleeding, early complications and adverse events in tracheostomy patients on antiplatelet and/or anticoagulant therapy at Can Tho Central General Hospital (2023–2024). Materials and methods: 45 patients indicated for tracheostomy receiving antiplatelet and/or anticoagulant therapy at Can Tho Central General Hospital from April 2023 to December 2024. Results: Intraoperative bleeding occurred in 48,89% of patients. The postoperative complication rate was 17,78%, with bleeding being the most common (11,11%), typically occurring on the first postoperative day. Conclusions: Tracheostomy in patients receiving antiplatelet and/or anticoagulant therapy has a similar intraoperative bleeding risk compared to those not on these medications. However, the higher postoperative bleeding rate leads to an increased risk of early postoperative complications.
Keywords
Tracheostomy, Anticoagulant, Antiplatelet, Bleeding, Complication
Article Details
References
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