Conclusion
The moderate increased risk of acute tracheostomy complications in
obstructive pulmonary patients should not necessarily be a reason for
contraindication. Tracheostomies are lifesaving treatments, especially
in patients with pre-existing pulmonary comorbidities and should be
conducted as indicated by critical care decision-making algorithms.
Though considering the moderate association with acute complications,
these patients should be counseled appropriately, and care teams should
be vigilant in this crucial post-operative period.