Complications in Upper Air Way Management as Compared to Endotracheal Intubation

.. Objective: This study involves the review of management of patients who required temporary airway support and were treated either with tracheostomy or endotracheal intubatione in ear, nose, throat. Department and intensive care unit of Multan Medical & Dental College Ibne Sina Hospital Multan. Another important aspect of the study is to compare the results of tracheostomy with endotracheal intubation . Study Design: Retrospective and descriptive. Place and Duration of Study: Multan Medical and Dental College Ibnae e Sina Hospital Multan. From 2012 to 2013. Patients and Method: Twenty consecutive patients who had operation of tracheostomy whether emergency or elective, and were admitted in ENT ward of Ibne Sina Hospital Multan and twenty patients were intubated with endotracheal tube in the intensive care unit of the hospital. Results: The main indications of tracheotomy were upper air way obstruction (80)% and mechanical respiratory insufficiency (20)%. Indications of endotracheal intubation were mechanical respiratory failure(80)% and ventilatory insufficiency due to retention of secretions (20)%. Tracheostomy is better choice in prolonged air way control more than three 3 weeks. But endotracheal intubation is found to be better choice in early and quick management of short term airway control up to 3 weeks.