11 August 2020 : Original article
Tracheostomy Post Liver Transplant: Predictors, Complications, and Outcomes
Ryan C. Graham1ABCEF, Weston J. Bush2BCD, Jeffrey S. Mella3AB, Jonathan A. Fridell4DE, Burcin Ekser4DE, Plamen Mihaylov4DE, Chandrashekhar A. Kubal4DE, Richard S. Mangus4ABCDEF*DOI: 10.12659/AOT.920630
Ann Transplant 2020; 25:e920630
Table 2 Subgroup analysis of 98 liver transplant patients with respiratory failure who required tracheostomy in the first 6-months post liver transplant.
| Number | |
|---|---|
| 98 (100%) | |
| Days to tracheostomy post transplant (median (SD)) | 19 (35) |
| Surgeon* | |
| Transplant surgeon | 92 (94%) |
| Other | 6 (6%) |
| Days from tracheostomy to decanulation (median (SD)) | 46 (430) |
| Died with tracheostomy | 18 (18%) |
| ** | |
| Forced vital capacity (FVC, % of predicted) | 81% (20) |
| Forced expiratory volume in 1 second | |
| (FEV1,% of predicted) | 76% (18) |
| FEV1/FVC (% of predicted) | 75% (8) |
| Any complication related to tracheostomy | 19 (19%) |
| Operative revision/post-operative hemorrhage | 4 |
| Tracheocutaneous fistula/non-closure | 4 |
| Bleeding requiring operative intervention | 5 |
| Subcutaneous emphysema | 2 |
| Pneumothorax/pneumomediastinum | 3 |
| Intraoperative unstable atrial fibrillation (cardioverted) | 1 |
| * 2 tracheostomies were performed percutaneously; ** 15 patients did not have PFT reports available. | |