Indicações e complicações de traqueostomia em crianças

Itamoto, Caroline Harumi; Lima, Bruno Thieme; Sato, Juliana de Oliveira; Fujita, Reginaldo Raimundo

doi:10.1590/s1808-86942010000300010

Cited by 28 publications

(8 citation statements)

References 9 publications

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“…11 AD is defined as an unexpected removal of the tracheostomy tube by the patient or their caregiver. 12 It is a common complication of having a tracheostomy, 1,[4][5][6][9][10][11][13][14][15][16][17] and along with tube obstruction, it is one of the most commonly identified causes of death associated with tracheostomy use at all ages. 10,13 There is limited evidence about the risk factors associated with AD.…”

Section: Introductionmentioning

confidence: 99%

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Factors Associated With Accidental Decannulation in Tracheostomized Children

Villarroel

Faúndez²,

Jalil³

et al. 2022

Respir Care

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BACKGROUND: Tracheostomy has many benefits for pediatric patients in the ICU, but it is also associated with complications. Accidental decannulation (AD) is a frequent complication and cause of mortality in this population. Our study aimed to determine the factors associated with AD in tracheostomized pediatric subjects. METHODS: This was a case-control study with 1:2 allocation ratio. Participants were tracheostomized children hospitalized in a prolonged mechanical ventilation hospital between 2013-2018. Each child who experienced decannulation during the study period was included as a case at the time of the event. Controls were obtained from the same population and were defined as subjects without an AD event during the same period. RESULTS: One hundred forty patients were hospitalized at Josefina Martinez Hospital at the time, of whom 41 were selected as cases and 82 as controls. Median (interquartile range) age was 20 (12-36) months, being 60% male. The median time from tracheostomy placement to AD event was 364 (167-731) d. Eighty-four percent of subjects were mechanically ventilated. AD mainly occurred by self-decannulation (53.7%). The risk of AD was higher in children who reached the midline in a sitting position (odds ratio 9.5 [95% CI 1.59253.90]), inner diameter (ID) tracheostomy tube size ^4.0 mm (odds ratio 5.18 [95% CI 1.41219.06]), and who had been hospitalized in hospital rooms with a low ratio of nursing staff for each subject (1 nurse to 4 subjects) (odds ratio 4. 48 [95% CI 1.19216.80]). CONCLUSIONS: Factors associated with a higher risk of AD in tracheostomized children included the ability to reach the midline in a sitting position, the use of a smaller tracheostomy tube (^4.0 mm ID), and lower supervision from staff.

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Section: Introductionmentioning

confidence: 99%

“…14.50]), and those with a longer tracheostomy tube experienced fewer AD events (OR 0.8 [95% CI 0.70-0.92]) (Table…”

mentioning

confidence: 99%

Factors Associated With Accidental Decannulation in Tracheostomized Children

Villarroel

Faúndez²,

Jalil³

et al. 2022

Respir Care

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“…The most common TQT indication is the prolonged tracheal intubation [4], where the permanency on mechanical ventilation may vary in average two months [5]- [7]. Several factors such as extubation failure, airway obstruction [5] [6], congenital malformation [4]- [8] and bronchopulmonary dysplasia are also indicatives for the realization of TQT [1] [9]- [11].…”

Section: Introductionmentioning

confidence: 99%

“…The work of the multidisciplinary team in family education is essential for the prevention of complications such as accidental decannulation, [1] [3] [5] [12]- [16] obstruction of the cannula [4] [5] [16] pneumothorax [15], bronchopneumonia aspiration [7] stoma granuloma [1] [3] [16] and subcutaneous emphysema [4] [14]. The therapist assists in the process of the care with the TQT, clarifying and integrating the family to home care [3], orienting and training everyday skills [11].…”

Section: Introductionmentioning

confidence: 99%

Orientation Program on the Care of Children Tracheostomized in the Home Environment

Moran¹,

Almeida²,

Pereira³

2014

WJNS

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Objective: The aim of the study was to make a literature review on counseling and family education about the care with tracheostomy and develop a guidance booklet for parents about the cautions in handling tracheostomy tubes at home. Methods: This research is based on literature review from 1992 to 2012, realized from October of 2011 to August 2012, through the following databases: medline, lilacs, scielo and sibinet USP, with the elaboration of a guidance booklet for parents, about home care of tracheostomized children. Results: We elaborated a guidance booklet for parents, about the care of tracheostomized children and all were described according to literature review. Conclusion: According to the literature review family education in the care of tracheostomized children is essential so that caregivers have full autonomy to safely and effectively conduct the necessary techniques in their homes.

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“…A Traqueostomia é considerada um dos procedimentos cirúrgicos mais antigos descritos na literatura. A primeira foi realizada no século II antes de Cristo e em 1977 foi realizada uma traqueostomia para retirada de corpo estranho de uma criança de 7 anos, sendo esta considerada a primeira traqueostomia confeccionada com sucesso nesta clientela (FRAGA; SOUZA; KRUEL, 2009;ITAMOTO et al, 2010).…”

Section: Estomias Do Trato Respiratóriounclassified

Complicações de estomias em crianças : frequência e fatores associados

Faria¹

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Dedico este trabalho às crianças com estomias, seus familiares e profissionais de saúde envolvidos no cuidado a estas pessoas tão especiais. AGRADECIMENTOSÀ minha família, pelo carinho, pelos conselhos, incentivo e apoio às minhas escolhas ao longo dos anos, torcendo sempre pelo meu êxito e me incentivando a buscar o conhecimento e a evolução como ser humano e profissional de saúde.À minha orientadora, professora Dra. Ivone Kamada, por me acompanhar desde a graduação e acolher minhas ideias e projetos, pelo constante incentivo a realizar pesquisas na área da Estomaterapia, pelas orientações dadas para construção deste estudo e contribuição para a minha evolução profissional. À professora Dra. Ana Lúcia da Silva, por transmitir seus conhecimentos em Estomaterapia e sempre incentivar a busca pelo conhecimento e o desenvolvimento de estudos na área. Às professoras Dra. Cristine Alves Costa de Jesus e Dra. Ana Beatriz Duarte Vieira, por aceitarem fazer parte da banca examinadora. Aos professores do Programa de Pós-graduação em Enfermagem da Universidade de Brasília, pelo conhecimento compartilhado e que serviu de base para a execução deste estudo. À equipe de Enfermagem do ambulatório de Atenção ao Estomizado do hospital escolhido para realização do estudo, por me receberem com respeito e paciência, permitindo que meu estudo fosse realizado no setor. Aos amigos enfermeiros Rafael, Anna Kristina, Jarine e Juliana Gracielle pelo apoio desde o final da graduação e durante o mestrado. Serei eternamente grata pelo carinho e palavras de incentivo. À enfermeira Fátima Sicca, pela amizade e suporte desde a minha graduação, pelo exemplo de competência profissional e por despertar em mim o desejo de aprimorar cada vez mais meus estudos na área de Estomaterapia e Dermatologia. À Coordenação de Apoio à Pesquisa e Ensino Superior (CAPES), pela concessão da bolsa de mestrado acadêmico durante o desenvolvimento desta pesquisa. A todos aqueles que contribuíram indireta ou diretamente para a construção, desenvolvimento e conclusão desta pesquisa. "Mestre não é quem sempre ensina, mas quem de repente aprende". Guimarães Rosa RESUMO FARIA, T.F. Complicações de estomias em crianças: frequência e fatores associados.

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Indicações e complicações de traqueostomia em crianças

Cited by 28 publications

References 9 publications

Factors Associated With Accidental Decannulation in Tracheostomized Children

Factors Associated With Accidental Decannulation in Tracheostomized Children

Orientation Program on the Care of Children Tracheostomized in the Home Environment

Complicações de estomias em crianças : frequência e fatores associados

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