#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Tracheostomy in children - a 7-year experience at Department of Otorhinolaryngology and Head and Surgery at University Hospital Hradec Králové


Authors: Anna Švejdová 1 ;  P. Kordač 1 ;  Viktor Chrobok 1,2
Authors place of work: Klinika otorinolaryngologie a chirurgie hlavy a krku, Fakultní nemocnice Hradec Králové 1;  Univerzita Karlova, Lékařská fakulta v Hradci Králové 2
Published in the journal: Otorinolaryngol Foniatr, 69, 2020, No. 3, pp. 122-126.
Category: Original Article

Summary

Introduction: Tracheostomy belongs among the procedures done to secure the airways. Most commonly it is performed for the need of long-term mechanical ventilation and management of airways. Paediatric tracheostomy has its specifics which need to be taken into consideration to prevent complications, as well as decannulation should have its rules.

Methods: In our paper we present a retrospective study of 50 children that underwent tracheostomy between the years 2012-2018. We compare indications for tracheostomy, average time of intubation before tracheo­stomy, technique, complications and decannulation rate.

Results: Our results confirm the main indication for tracheostomy in children: long-term mechanical ventilation and management of upper airways mostly due to polytrauma. Average time of intubation before tracheostomy was 12,5 days, mostly used technique was inferior tracheostomy. We found only minor complications in 14% of patients, 46% of children stayed long-term tracheostomized. 

Conclusion: Tracheostomy in children and adults is linked to higher morbidity, long hospitalization and often to the need of permanent follow-up. Decannulation might be more complicated than in adults, we should discuss a decannulation protocol in the future.

Keywords:

indication – paediatric tracheostomy – mechanical ventilation – decannulation


Zdroje

1.    Astl, J., Betka, J., Andrle, J., et al.: Tracheostomie historický přehled a literární souhrn. Otorinolaryngol Foniatr, 53, 2004, 4, s. 177–183.

2.    Fagan, J.: Open access atlas of otolaryngology, head and neck operative surgery, Tracheostomy, Cape town. Dostupné z URL: https://vula.uct.ac.za/access/content/group/ba5fb1bd-be95-48e5-81be-586fbaeba29d/TRACHEOSTOMY.pdf

3.    Goldenberg, D., Ari, E. G., Golz, A., et al.: Tracheotomy complications: a retrospective study of 1130 cases. Otolaryngol Head Neck Surg, 123, 2000, 4, s. 495–500.

4.    Chrobok, V., Astl, J., Komínek, P., et al.: Tracheostomie a koniotomie, techniky, komplikace a ošetřovatelská péče, Praha: Maxdorf, 2004.

5.    Ismail-Koch, H., Jonas, N., Fagan, J.: Open atlas of otolaryngology, head and neck operative surgery, Paediatric tracheo­stomy, Cape town. Dostupné z URL: https://vula.uct.ac.za/access/content/group/ba5fb1bd-be95-48e5-81be-586fbaeba29d/Paediatric%20tracheostomy.pdf

6.    Leung, R., Berkowitz, R. G.: Decannulation and outcome following pediatric tracheostomy. Ann Otol Rhinol Laryngol, 114, 2005, 10, s. 743–748.

7.    Mahadevan, M., Barber, C., Salkeld, L., et al.: Pediatric tracheotomy: 17 year review. Int J Pediatr Otorhinolaryngol, 71, 2007, 12, s. 1829–1835.

8.    Mitchell, R. B., Hussey, H. M., Setzen, G., et al: Clinical consensus statement: tracheostomy care. Otolaryngol Head Neck Surg, 148, 2013, 1, s. 6–20.

9.    Monteiro, S., de Farias, T. P., de Camargo Millen, M., et al.: The History of Tracheostomy. In: de Farias T. (eds) Tracheostomy. Cham: Springer, 2018.

10.  Pellant, A., Škvrňáková, J., Michálek, R., et al.: Všeobecná sestra a tracheostomie. Otorinolaryngol Foniatr, 62, 2013, 3, s. 145–148.

11.  Rajesh, O., Meher, R.: Historical Review Of Tracheostomy. Internet J Otorhinolaryngol, 4, 2005, 2. Dostupné z URL: http://ispub.com/IJORL/4/2/7498

12.  Rassekh, C. H.: Airway risk reduction at Penn Medicine, 2012. Dostupné z URL: https://www.pennmedicine.org/departments-and-centers/otorhinolaryngology/about-us/newsletters/archive/2018-newsletter/airway-risk-reduction

13.  Ruggiero, F. P., Carr, M. M.: Infant tracheotomy: results of a survey regarding technique. Arch Otolaryngol Head Neck Surg, 134, 2008, 3, s. 263–267.

14.  Vodička, J., Pokorný, K., Matoušek, P., et al.: Chirurgická a punkční dilatační tracheostomie – retrospektivní studie. Čas Lék čes, 146, 2007, 6, s. 546–550.

15.  Watters, K. F.: Tracheostomy in Infants and Children. Respir Care, 62 2017, 6, s. 799–825.

16.  Wetmore, R. F., Marsh, R. R., Thompson, M. E., et al.: Pediatric tracheostomy: a changing procedure? Ann Otol Rhinol Laryngol. 108, 1999, 7 Pt 1, s. 695–699.

Štítky
Audiology Paediatric ENT ENT (Otorhinolaryngology)
Prihlásenie
Zabudnuté heslo

Zadajte e-mailovú adresu, s ktorou ste vytvárali účet. Budú Vám na ňu zasielané informácie k nastaveniu nového hesla.

Prihlásenie

Nemáte účet?  Registrujte sa

#ADS_BOTTOM_SCRIPTS#