Tracheostomy in pediatric burn patients

Sen, Soman; Heather, J Cordell; Palmieri, Tina L; Greenhalgh, David G.

doi:10.1016/j.burns.2014.10.005

Cited by 20 publications

(16 citation statements)

References 19 publications

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“…Decannulation was carried out successfully in 96.7% of surviving patients. This result is similar to other reports of pediatric burn patients, and higher than non-trauma pediatric patients [4,10,[15][16][17].…”

Section: Methodssupporting

confidence: 92%

“…There are two main indications for tracheotomy in children with severe burns: (1) acute upper airway obstruction; and (2) requirement for long-term ventilation support [10]. Most of the tracheostomies were done for upper airway obstruction in our study (58.5%), which is similar to other reports [4].…”

Section: Methodssupporting

confidence: 88%

“…Recent studies have shown that early tracheostomy in critically burned pediatric patients is safe and effective. Early tracheostomy provides a stable airway and improves mechanical ventilation management, and the incidence of tracheotomy site infections and pneumonia is also extremely low [3][4][10][11].…”

Section: Methodsmentioning

confidence: 99%

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Early tracheostomy in severely burned pediatric patients: 16-year experience at a tertiary burn center in China

Chen

Kuang²,

Zhang

et al. 2020

Preprint

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Background: A tracheostomy is a lifesaving procedure in severely burned pediatric patients. Because of the complex operative procedures, higher incidence of complications, pulmonary infections and mortality, tracheostomy in pediatric patients has always been controversial, especially for children < 3 years of age. Our study aimed to describe the characteristics of severely burned pediatric patients who had a tracheostomy and to identify the risk factors associated with complications related to tracheostomies, so as to provide assistance and suggestions for the airway management of such patients.Method: Severely burned pediatric patients (aged ≤15 years of age) who had a tracheostomy between 1 January, 2004 and 31 December, 2019 were retrospectively reviewed. The following data were collected: age; gender; total burn surface area (TBSA); burn mechanism; inhalation injury; indication for tracheostomy; time from injury to tracheotomy; duration of ventilation; duration of tracheostomy, tracheotomy-related complications; and prognosis.Results: Sixty-five severely burned pediatric patients with tracheostomies were reviewed in this study, 70.6% were < 3 years of age. The 0-3 year age group had the largest number of tracheotomies and the highest incidence of tracheostomy-related complications. Tracheotomy-related complications occurred in 15 patients (23.1%); seven, and eight were early and late complications, respectively. There was no significant relationship between the risk factors that were analyzed and early complications, but TBSA%, ventilation time, and duration of tracheostomy were significantly related to late complications. Multivariate linear regression analysis indicated that age, TBSA%, inhalation injury, and ventilation time were independent variables influencing the duration of tracheostomy. Decannulation was carried out successfully in 96.7% (58/60) of surviving patients. Age (B = −0.011, p = 0.008), TBSA (B = 1.5, p = 0.006), inhalation injury (B = 1.07, p = 0.004), and ventilation time (B = 1.081, p = 0.000) were independent risk factors influencing the duration of tracheostomy. Five patients died (7.7%); no children died from tracheotomy-related complications.Conclusion: Early tracheostomy is a relatively safe and effective method for airway management in severely burned children; however, patients < 3 years of age should be evaluated for tracheostomy with greater caution due to the severity of the complications.

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Section: Methodssupporting

confidence: 92%

Section: Methodssupporting

confidence: 88%

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Early tracheostomy in severely burned pediatric patients: 16-year experience at a tertiary burn center in China

Chen

Kuang²,

Zhang

et al. 2020

Preprint

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“…80%). A recent study by Sen et al showed that tracheostomy is safe in pediatric burn patients and duration of tracheostomy is dependent on % TBSA and not age [13].…”

Section: Discussionmentioning

confidence: 98%

Smoke inhalation increases intensive care requirements and morbidity in paediatric burns

Tan

Smailes

Friebel

et al. 2016

Burns

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“…увеличивает риск развития постинтубационных осложнений [9][10][11]. В подобных ситуациях наложение трахеостомы с последующим проведением ИВЛ через трахеостомическую канюлю облегчает санацию трахеобронхиального дерева, позволяет сократить время перевода на самостоятельное дыхание и приводит к снижению риска жизнеугрожающих осложнений [8].…”

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Approaches to Tracheostomy in Patients With Deep Neck Burns and Inhalation Injury

Порханов¹,

Vagner²,

Богданов³

et al. 2018

VESTNIK KHIRURGII IMENI I.I.GREKOVA

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The OBJECTIVE is to evaluate the results of introduction of the new method of preparation in patients with deep neck burns to the imposition of tracheostomy. MATERIAL AND METHODS. The study included 124 patients with extensive deep burns and inhalation injury. The method of treatment consisted of early (3–4 days from the moment of injury) necrectomy with simultaneous autodermoplasty in the projection of the anterior surface of the neck and torso on the area of 1–1.5% of the body surface. Tracheostomy was performed after graft engraftment. RESULTS. According to the proposed method, 20 patients were operated. 17 of them were subjected tracheostomy through the restored skin on 11.6±1.8 days. CONCLUSION. The method of the early recovery of th skin in the projection of tracheostomy in patients with deep burns of the neck allows to safely subject tracheostomy through the restored skin on 8–14 days from the moment of the burn.

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Tracheostomy in pediatric burn patients

Cited by 20 publications

References 19 publications

Early tracheostomy in severely burned pediatric patients: 16-year experience at a tertiary burn center in China

Early tracheostomy in severely burned pediatric patients: 16-year experience at a tertiary burn center in China

Smoke inhalation increases intensive care requirements and morbidity in paediatric burns

Approaches to Tracheostomy in Patients With Deep Neck Burns and Inhalation Injury

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