Paediatric tracheostomy: A modified technique and its outcomes, results from a South Indian tertiary care

Syed, Kamran Asif; Naina, P.; Pokharel, Apar; John, Mary; Varghese, Ajoy Mathew

doi:10.1016/j.ijporl.2018.12.007

Cited by 8 publications

(4 citation statements)

References 20 publications

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“…Vertical incisions are supported by a widely cited animal study of post-decannulation tracheal stenosis comparing several techniques [ 30 ]. However, others advocate for a superiorly based tracheal flap [ 31 ], a horizontal tracheal incision [ 32 ] or a window excision [ 33 ], all with low rates of post-decannulation stenosis.…”

Section: Surgical Techniquementioning

confidence: 99%

Update on Pediatric Tracheostomy: Indications, Technique, Education, and Decannulation

Fuller

Wineland

Richter

2021

Curr Otorhinolaryngol Rep

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Purpose of Review Tracheostomy in a child demands critical pre-operative evaluation, deliberate family education, competent surgical technique, and multidisciplinary post-operative care. The goals of pediatric tracheostomy are to establish a safe airway, optimize ventilation, and expedite discharge. Herein we provide an update regarding timing, surgical technique, complications, and decannulation, focusing on a longitudinal approach to pediatric tracheostomy care. Recent Findings Pediatric tracheostomy is performed in approximately 0.2% of inpatient stays among tertiary pediatric hospitals. Mortality in children with tracheostomies ranges from 10–20% due to significant comorbidities in this population. Tracheostomy-specific mortality and complications are now rare. Recent global initiatives have aimed to optimize decision-making, lower surgical costs, reduce the length of intensive care, and eliminate perioperative wound complications. The safest road to tracheostomy decannulation in children remains to be both patient and provider dependent. Summary Recent literature provides guidance on safe, uncomplicated, and long-term tracheostomy care in children. Further research is needed to help standardize decannulation protocols.

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Section: Surgical Techniquementioning

confidence: 99%

Update on Pediatric Tracheostomy: Indications, Technique, Education, and Decannulation

Fuller

Wineland

Richter

2021

Curr Otorhinolaryngol Rep

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“…Series from different countries present late accidental cannulation rates between 2% and 6%, and some of these cases resulted with death of the children 18–20 . On the other hand, there are studies which claimed that no accidental decannulation occurred 21 . The authors of the present paper did not encounter an accidental decannulation probably due to the percutaneous technique.…”

Section: Late Complicationsmentioning

confidence: 48%

“…[18][19][20] On the other hand, there are studies which claimed that no accidental decannulation occurred. 21 The authors of the present paper did not encounter an accidental decannulation probably due to the percutaneous technique.…”

Section: Airway Obstructionmentioning

confidence: 50%

Management of surgical problems in children on home invasive mechanical ventilation

Ergun,

Gollu

2024

Pediatric Pulmonology

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The management of surgical problems in children on home invasive mechanical ventilation (HIMV) requires a comprehensive and multidisciplinary approach. HIMV is a critical intervention for children with chronic respiratory failure, as it allows them to live at home with their families while receiving life‐sustaining ventilatory support. However, the long‐term use of HIMV exposes these children to potential surgical complications related to their underlying conditions, tracheostomy tubes, ventilator devices, and gastrostomy tubes for enteral feeding. This manuscript aims to provide a detailed overview of the identification and recognition of surgical problems in children on HIMV, as well as strategies to solve these problems effectively.

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“…As indicações para traqueostomia variam de acordo com as instituições e o perfil da população e, frequentemente, é realizada em crianças menores de 1 ano de idade (1) A ventilação mecânica prolongada por intubação e a obstrução de vias aéreas superiores são consideradas os principais motivos de indicação para esse procedimento cirúrgico. Estima-se que 0,5% a 2% das crianças submetidas à intubação e ventilação mecânica em unidades de terapia intensiva (UTI) necessitam de traqueostomia (1)(2)(3) .…”

Section: Introductionunclassified

Protocolo para decanulação de traqueostomia pediátrica: evidências de validação de conteúdo

Santos,

Carvalho

2023

Audiol., Commun. Res.

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RESUMO Objetivo desenvolver e validar o conteúdo de um protocolo de decanulação para crianças traqueostomizadas crônicas, na faixa etária de 0 a 12 anos. Métodos pesquisa metodológica realizada em quatro etapas: (1) submissão do projeto ao comitê de ética em pesquisa; (2) revisão sistemática da literatura; (3) elaboração do protocolo clínico; (4) avaliação da qualidade das informações com especialistas. A fase de elaboração seguiu as recomendações do Guia para a Construção de Protocolos Assistenciais do Conselho Regional de Enfermagem - COREN - SP. A qualidade do protocolo foi avaliada por oito especialistas em pediatria, por meio do Appraisal of Guidelines Research & Evaluation (AGREE II). Considerou-se a adequabilidade aceitável do protocolo igual ou superior a 78% de concordância entre os especialistas. Resultados a partir da revisão sistemática, foram elencadas cinco recomendações para compor o protocolo de decanulação da traqueostomia em crianças, representado em um fluxograma. A adequabilidade do protocolo variou entre 81,94% e 95,83%, com avaliação global de 93,75%. Todos os especialistas recomendaram o protocolo como adequado para utilização nos serviços de saúde. Conclusão o protocolo de decanulação para crianças traqueostomizadas crônicas foi considerado válido e adequado em seu conteúdo. Recomenda-se a realização de pesquisas futuras com delineamentos randomizados, nessa população, para avaliar o impacto do uso do protocolo e o seu custo-efetividade nos serviços de saúde.

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Paediatric tracheostomy: A modified technique and its outcomes, results from a South Indian tertiary care

Cited by 8 publications

References 20 publications

Update on Pediatric Tracheostomy: Indications, Technique, Education, and Decannulation

Update on Pediatric Tracheostomy: Indications, Technique, Education, and Decannulation

Management of surgical problems in children on home invasive mechanical ventilation

Protocolo para decanulação de traqueostomia pediátrica: evidências de validação de conteúdo

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