Pediatric tracheostomy and associated complications

Gaudet, Paul T.; Peerless, Alter; Sasaki, Clarence T.; Kirchner, John A.

doi:10.1288/00005537-197810000-00009

Cited by 89 publications

(41 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Data also support early weaning of mechanical ventilation within 48 h of early tracheostomy [2,6]. On the other hand, tracheostomy itself may result in various procedural complications ''early'' in a patient's course [7][8][9][10][11][12][13]. Some evidence also exists to suggest that early tracheostomy does not, in fact, improve outcome [8,14].…”

Section: Introductionmentioning

confidence: 99%

Impact of Tracheostomy Timing on Outcome After Severe Head Injury

et al. 2011

View full text Add to dashboard Cite

show abstract

Section: Introductionmentioning

confidence: 99%

Impact of Tracheostomy Timing on Outcome After Severe Head Injury

et al. 2011

View full text Add to dashboard Cite

show abstract

“…3 Gaudet et al showed a complication rate of 33% in a retrospective study of paediatric tracheostomies. 10 In our study we had no cases of mortality inspite of the incidence of complications being high.…”

Section: Discussionmentioning

confidence: 62%

Incidence of complications of emergency tracheostomy in a rural medical college setting: a prospective study

Ajayan

Jacob

Nandakumar

2017

Int J Otorhinolaryngol Head Neck Surg

View full text Add to dashboard Cite

Background: Tracheostomy done as an emergency procedure for the purpose of saving lives, is mostly associated with aerodigestive tract malignancies, though a few may be associated with foreign body aspiration. The incidences of complications intraoperatively as well as postoperatively are high in emergency tracheostomies. Few studies exist documenting the incidence of these complications .Thus this study was undertaken in a rural Medical College setting to find the incidence of complications associated with emergency tracheostomy.Methods: After Institutional ethical committee clearance, a prospective study was conducted over a period of 2 years which included 120 patients of all ages and both genders, who presented to the emergency room with stridor. All tracheostomies were performed, using standard techniques, in the emergency operation theatre under monitored anaesthesia care or general anaesthesia. Complications were noted during the procedure as well as in the postoperative period at regular intervals upto one year and were categorized as immediate, intermediate and late.Results: Though there was no case of mortality, the incidence of complications was 53.3%. The commonest immediate complication was haemorrhage (12.5%) followed by cardiopulmonary arrest (5%) and apnoea (3.3%). The commonest intermediate complications were infection (18.3%), crusting (12.5%), displacement of tube (8.3%) and bleeding (8.3%).Late complications noted were stomal stenosis (8.3%), keloid formation (5%) and tracheocutaneous fistula (3.3%).Conclusions: Some of these complications can be avoided by early intervention as a semi emergency procedure when you first think about it. This can avoid the hazzle of hurried tracheostomy in a struggling patient thus bringing down the incidence of complications.

show abstract

“…Therefore, we are yet unable to evaluate the rate or severity of tracheal stenosis or of TCF. Tracheal stenosis is reported to occur in 12-17% of RT [9,11] and persistent TCF in 18-25% [1,5,11]. Koltai does not report on any cases of tracheal stenosis.…”

Section: Discussionmentioning

confidence: 95%

“…It has been recognized that tracheotomy-related complication rates are greater in younger children [5,9]. In several studies, up to 70% of infants less than 1 year old, have experienced at least one tracheotomy-related complication [5,9,10].…”

Section: Discussionmentioning

confidence: 99%