Pediatric Tracheostomy

Buren, Nicholas C. Van; Narasimhan, Evan; Curtis, Jonathan L.; Muntz, Harlan R.

doi:10.1177/0003489414560430

Cited by 14 publications

(8 citation statements)

References 10 publications

(18 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…incidence of accidental decannulations and change-related deaths (related to airway loss) compared with the early changes in the case series by Van Buren et al 12 Our results also show a lower incidence of tracheostomy-related deaths compared with the rate reported in the literature 13 (of 5.9% when changed at 7 days or before). The incidence of complications after tracheostomy varies in the literature.…”

Section: Discussionsupporting

confidence: 64%

Assessment of Tracheostomy Tube Placement and Late Change Practices in an Academic Tertiary Care Center

Daou,

Chahine,

Barazi

2024

Int Arch Otorhinolaryngol

View full text Add to dashboard Cite

Introduction The optimal time for tracheostomy changes is unknown. Most surgeons opt to wait until five to seven days postoperatively, while more recent studies suggest that changes occurring as early as two to three days postoperatively are also safe. Objective To evaluate the safety of changing the tracheostomy tube later than 14 days postoperatively. Methods The charts of patients who underwent tracheostomy placement and change at a tertiary care center from 2015 to 2019 were retrospectively reviewed, and the subjects were divided into 2 cohorts (late and very late), depending on the time of the first tracheostomy change. Results The study included 198 patients, 53 of whom aged between 0 and 18 years, and 145, aged > 18 years. The time until the first tracheostomy change was on average of 131.1 days. The most common indication for tracheostomy tube placement was prolonged intubation. Adverse events were observed in 30.8% of the cases (the most common being the formation of granulation tissue), a rate that does not differ much from the incidence reported in the literature (of 34% to 77%) when tracheostomy tubes are changed as early as 3 to 7 days postoperatively. There was no significant difference in the incidence of complications between patients undergoing late and very late changes (p = 0.688), or between pediatric and adult subjects (p = 0.36). There were no significant correlations regarding the time of the first or second change and the incidence of complications (r = −0.014; p = 0.84 for the first change; and r = −0.57; p = 0.64 for the second change). Conclusion The late first tracheostomy tube change was safe and could save resources and decrease the financial burden of frequent changes. It is always crucial to provide adequate information about home tracheostomy care for patients.

show abstract

Section: Discussionsupporting

confidence: 64%

Assessment of Tracheostomy Tube Placement and Late Change Practices in an Academic Tertiary Care Center

Daou,

Chahine,

Barazi

2024

Int Arch Otorhinolaryngol

View full text Add to dashboard Cite

show abstract

“…Granulation tissue occurred in 12.5% of cases, having been the second most common complication in our serie (Table 2.). The most common complication was accidental decannulation, in 25% of patients, compared to 0.7-18% of cases in the reviewed articles 3,10,11,20 . Two occurred in hospital in the first week following the procedure, whereas the other took place at the patient's home.…”

Section: Discussionmentioning

confidence: 89%

Tracheotomy decannulation in children under one year of age

Cardoso¹,

Ribeiro²,

Neves³

et al. 2018

Arch. Head Neck Surg.

View full text Add to dashboard Cite

show abstract

“…Most previous studies have focused on the first tracheostomy tube change in pediatric patients [ 12 ]. In most studies, the first tracheostomy tube is changed within approximately 2–4 days, and there are no respiratory complications, wound problems, and healing; thus, an early replacement was recommended [ [9] , [10] , [11] , 13 ]. However, there may be differences in wound healing between adults and pediatric patients.…”

Section: Discussionmentioning

confidence: 99%

“…First, our study is one of the rare studies that provide important lessons on the timing of the first tracheostomy tube change. Most of the previous studies were in pediatric patients or small studies with very small number of patients [ [9] , [10] , [11] ]. Therefore, we can say that this study is valuable in dealing with relatively large-scaled data and the study of adult patients.…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, it has been reported that if the replaced tracheostomy tube is incorrectly positioned in the anterior mediastinum, a large amount of subcutaneous emphysema, mediastinal emphysema, cardiac arrest, and in rare cases, damage to the innominate artery may occur [ 8 ]. In addition, there were studies regarding early change of the first tracheostomy tube in pediatric patients that can improve outcomes, such as fewer significant peristomal wounds, reduction intensive care unit stay, and reduction overall hospital stay [ [9] , [10] , [11] ]. However, studies about complications in adult patients remain insufficient.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Clinical outcomes according to the timing of the first tracheostomy tube change

Lee,

Park

et al. 2024

Heliyon

View full text Add to dashboard Cite

Pediatric Tracheostomy

Abstract: Early tracheostomy tube change was safely performed in a significant portion of this population. Routine tube change on POD 3 in many children could save resources by reducing the length of ICU and hospital stays.

Cited by 14 publications

References 10 publications

Assessment of Tracheostomy Tube Placement and Late Change Practices in an Academic Tertiary Care Center

Assessment of Tracheostomy Tube Placement and Late Change Practices in an Academic Tertiary Care Center

Tracheotomy decannulation in children under one year of age

Clinical outcomes according to the timing of the first tracheostomy tube change

Contact Info

Product

Resources

About