Tracheostomy in childhood: review of the literature on complications and mortality over the last three decades

Dal’Astra, Ana Paula Ligoski; Quirino, Ariane Vieira; Caixêta, Juliana Alves de Sousa; Avelino, Melissa Ameloti Gomes

doi:10.1016/j.bjorl.2016.04.005

Cited by 90 publications

(94 citation statements)

References 43 publications

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“…(Figure 2) Plastic tubes can be either silicone or polyvinyl chloride (commonly known by its acronyms PVC).4-6Silicone is naturally soft and unaffected by temperature, by the time polyvinyl chloride softens at body temperature (they are thermolabile), conforming to patient anatomy and centering the distal tip in the trachea 7,9,14,18 . The thermal behaviour of plastic materials provides a possible explanation for our observation of a significant improvement in leakage rates when tracheostomy tubes were tested at body temperature.…”

Section: Tracheostomy Cannula's Materialmentioning

confidence: 99%

“…The reinforcement acts as a support structure for the tracheostomy cannula and protects the tracheostomy fixed cannula from buckling and bending [9][10][11][12][13][14][15][16][17][18][19][20][21][22][23] . Metallic tracheostomy cannulas are constructed of silver or stainless steel 7 . They all have the same 90º curve-angle and diameters, independently on the brand, based on the Jackson sizing system 7 .…”

Section: Tracheostomy Cannula's Materialmentioning

confidence: 99%

“…Metallic tracheostomy cannulas are constructed of silver or stainless steel 7 . They all have the same 90º curve-angle and diameters, independently on the brand, based on the Jackson sizing system 7 . The only difference on metallic tracheostomy cannulas are their sizes, which can be short, standard and long [4][5][6][7]10,14 .…”

Section: Tracheostomy Cannula's Materialmentioning

confidence: 99%

“…In most of the cases universal hubs are fixed in plastic cannulas, however there are some models which have the hub among the kit, as a detached part. They allow perfect attachment to the manual resuscitator, to the mechanical ventilator circuit, and to a speech valve 4,5,14,18 Metallic tracheostomy cannulas don't have a hub that fits perfectly to these breathing systems 7,14,18 . Metallic hubs are shorter and smaller in all brands than the plastic ones.…”

Section: Universal Hub 15mmmentioning

confidence: 99%

“…The ideal fixation with soft tissue should allow a centimeter of distance between the tissue and the neck. When there is a high risk of decannulation or when fixation with a tissue cannot be applied, the faceplate can be sutured directly into the patient's skin [1][2][3][4]7,11 . Placing a connector from an endotracheal into the metallic tracheostomy cannula.…”

Section: Faceplatementioning

confidence: 99%

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Practical Aspects About Tracheostomy Cannula: A Systematic Review

Tavares

Machado²

2017

Rev Pesq Fisio

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Context: Since the first sterling tracheostomy cannula was developed, in the late 1800's, and some modernization has occurred, there have been several reports on flaws surrounding their care. Objetive: Provide a comprehensive review about tracheostomy cannulas. Methods: A systematic search of the PubMed and Medline databases was conducted on closed drainage system using the following keyword combination: tracheostomy AND cannula. Results: From eight hundred eight-three articles retrieved after our preliminary search, 17 articles were chosen for final analysis. Representative schemes were drawn to better understanding of the three distinguished materials types and ten different components (faceplate, cannula, radiopaque line in the cannula, inner cannula, universal hub 15mm, pressure line, pilot balloon, cuff, subglottic aspiration system, obturator), as well as their concerns. Conclusions: Knowing and understanding tracheostomy cannulas. particularities may imply in a better approach to the patients, and in minimizing institutional costs.

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Section: Tracheostomy Cannula's Materialmentioning

confidence: 99%

Section: Tracheostomy Cannula's Materialmentioning

confidence: 99%

Section: Tracheostomy Cannula's Materialmentioning

confidence: 99%

Section: Universal Hub 15mmmentioning

confidence: 99%

Section: Faceplatementioning

confidence: 99%

See 3 more Smart Citations

Practical Aspects About Tracheostomy Cannula: A Systematic Review

Tavares

Machado²

2017

Rev Pesq Fisio

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Pediatric Tracheostomy Emergency Readiness Assessment Tool: International Consensus Recommendations

et al. 2023

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ObjectiveTo achieve consensus on critical steps and create an assessment tool for actual and simulated pediatric tracheostomy emergencies that incorporates human and systems factors along with tracheostomy‐specific steps.MethodsA modified Delphi method was used. Using REDCap software, an instrument comprising 29 potential items was circulated to 171 tracheostomy and simulation experts. Consensus criteria were determined a priori with a goal of consolidating and ordering 15 to 25 final items. In the first round, items were rated as “keep” or “remove”. In the second and third rounds, experts were asked to rate the importance of each item on a 9‐point Likert scale. Items were refined in subsequent iterations based on analysis of results and respondents' comments.ResultsThe response rates were 125/171 (73.1%) for the first round, 111/125 (88.8%) for the second round, and 109/125 (87.2%) for the third round. 133 comments were incorporated. Consensus (>60% participants scoring ≥8, or mean score >7.5) was reached on 22 items distributed across three domains. There were 12, 4, and 6 items in the domains of tracheostomy‐specific steps, team and personnel factors, and equipment respectively.ConclusionsThe resultant assessment tool can be used to assess both tracheostomy‐specific steps as well as systems factors affecting hospital team response to simulated and clinical pediatric tracheostomy emergencies. The tool can also be used to guide debriefing discussions of both simulated and clinical emergencies, and to spur quality improvement initiatives.Level of EvidenceLevel 5 Laryngoscope, 2023

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Adverse Events Associated With Tracheostomy: A MAUDE Database Analysis

Narwani,

Dacey,

Lerner

2023

Otolaryngol.--head neck surg.

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ObjectiveTracheotomy is one of the most common procedures. Although tracheostomy complications have been extensively studied, literature related to device complications is scarce. The objective of this study is to describe complications associated with tracheostomies utilizing the Manufacturer and User Facility Device Experience (MAUDE) database.Study DesignRetrospective cross‐sectional study.SettingThe US Food and Drug Administration's (FDA) MAUDE database (2015‐2020).MethodsThe FDA's MAUDE database was queried for all reports on adverse events related to tracheostomy from January 1, 2015 to December 31, 2020.ResultsA total of 3086 adverse events related to open tracheostomy and 52 related to percutaneous tracheostomy were identified. For open tracheostomy, 2872 (93%), were related to device malfunction, and 214 (7%) consisted of patient‐related factors. The most frequently reported device‐related adverse event was cuff malfunction, with 1834 (59%) reported events, which includes cuff deflation, pilot balloon malfunction, and cuff inflation line malfunction. The most frequently reported patient‐related adverse events were tracheostomy tube obstruction with 67 events (2%). For percutaneous tracheostomy, 38 (73%) events were related to device malfunction, and 14 (27%) were related to patient injury. The most frequently reported adverse events were cuff malfunction (29%), safety ridge malfunction (17%), and bleeding (10%).ConclusionThe MAUDE database is a useful tool that can be utilized to complement existing literature in identifying common and rare adverse events associated with tracheostomy device‐related failures, which are mostly reliant on isolated, published case reports.

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Tracheostomy in childhood: review of the literature on complications and mortality over the last three decades

Cited by 90 publications

References 43 publications

Practical Aspects About Tracheostomy Cannula: A Systematic Review

Practical Aspects About Tracheostomy Cannula: A Systematic Review

Pediatric Tracheostomy Emergency Readiness Assessment Tool: International Consensus Recommendations

Adverse Events Associated With Tracheostomy: A MAUDE Database Analysis

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