Tracheostomy, respiratory support, and developmental outcomes in neonates with severe lung diseases: Retrospective study in one center (original) (raw)

Infant Tracheostomy: A 10-year experience in A Tertiary Centre

Malaysian Journal of Paediatrics and Child Health

We aim to report our experience of infant tracheostomies in a period of 10 years and discuss the indications, complications, outcome, and follow-up. This case series will contribute to the data of shifting trends in paediatric tracheostomy indications and outcomes. This study aims to review the indications, complications, and outcomes for paediatric tracheostomy at Hospital USM. A retrospective evaluation of the last ten years of experience at Hospital USM for all infants under the age of one who undergoes tracheostomy from January 2011 to January 2021 was undertaken. During the research period, twelve tracheostomies were performed. Complete data were available for all patients. There were 8 (67%) males and 4 (33%) females. The patient's age at the time of tracheostomy ranged from one day to nine months, with the mean age of tracheostomy insertion being 95 days. The most frequent indication was prolonged ventilation (50%), followed by upper airway obstruction caused by a craniof...

Tracheostomy for Infants Requiring Prolonged Mechanical Ventilation: 10 Years' Experience

PEDIATRICS, 2013

Neonatology orn_infant_sub http://pediatrics.aappublications.org/cgi/collection/fetus:newb Fetus/Newborn Infant the following collection(s): This article, along with others on similar topics, appears in Permissions & Licensing tml http://pediatrics.aappublications.org/site/misc/Permissions.xh tables) or in its entirety can be found online at: Information about reproducing this article in parts (figures, Reprints http://pediatrics.aappublications.org/site/misc/reprints.xhtml Information about ordering reprints can be found online: rights reserved. Print

Tracheostomy For Infants Requiring Prolonged Mechanical Ventilation: 10 Year Review

A56. PEDIATRIC AND NEONATAL CRITICAL CARE, 2012

Clinical Study Retrospective Analysis of Pediatric Tracheostomy

2015

Purpose.This paper reviews analyses for tracheostomy within our patient population over the last 6 years.Methods.We conducted a retrospective chart review of consecutive patients undergoing tracheostomy at the tertiary Dicle University Medical hospital, Turkey, from January 2006 to December 2012. Patient age, sex, emergency, planned tracheostomy, indications, complications, and decannulation time were all assessed. Results. Fifty-six (34 male, 22 female) adult Pediatric patients undergoing tracheostomy between 2006 and 2013 were investigated. The most common indication for tracheostomy was upper airway obstruction (66.7%), followed by prolonged intubation (33.3%). Mean decannulation times after tracheostomy ranged between 1 and 131 days, the difference being statistically significant (P = 0.040). There was no significant difference in terms of mean age (9.8 ± 6.0; P = 0.26). There was also no statistical difference between emergency and planned tracheotomies (P = 0.606). Conclusion....

Pediatric tracheostomy: a 13-year experience

Pediatric Surgery International - PEDIAT SURG INT, 2004

Pediatric tracheostomy has been reported to be a surgical procedure with significant morbidity and mortality. The use of tracheostomy in airway management has changed over time as regards indication and outcome. A review of the last 13 years’ experience in our institution was carried out to focus on this group of patients and the recent trends in airway management. A retrospective analysis of hospital records was done and information collected with respect to age, gender, indication for tracheostomy, duration, complications, and follow-up. Thirty-nine tracheotomies were done in 36 patients, of whom males outnumbered females 2:1. The mean patient age was 41.6 months while nearly a third were newborns. The indications were congenital and acquired obstructive lesions. Apart from nine cases, all have been treated and decannulated. Follow-up ranged from 1 month to 8 years, and decannulation time from 48 h to 45 months. Home tracheostomy care was very well managed by the parents. One trac...

Retrospective Analysis of Pediatric Tracheostomy

Advances in Otolaryngology, 2014

Purpose. This paper reviews analyses for tracheostomy within our patient population over the last 6 years. Methods. We conducted a retrospective chart review of consecutive patients undergoing tracheostomy at the tertiary Dicle University Medical hospital, Turkey, from January 2006 to December 2012. Patient age, sex, emergency, planned tracheostomy, indications, complications, and decannulation time were all assessed. Results. Fifty-six (34 male, 22 female) adult Pediatric patients undergoing tracheostomy between 2006 and 2013 were investigated. The most common indication for tracheostomy was upper airway obstruction (66.7%), followed by prolonged intubation (33.3%). Mean decannulation times after tracheostomy ranged between 1 and 131 days, the difference being statistically significant ( = 0.040). There was no significant difference in terms of mean age (9.8 ± 6.0; = 0.26). There was also no statistical difference between emergency and planned tracheotomies ( = 0.606). Conclusion. In our patient population, there was a significant decline in the number of tracheotomies performed for prolonged intubation and an increasing number of patient tracheostomy for upper airway obstruction. According to the literature, permanent decannulation rates were slightly higher with an increase in genetic diseases such as neuromuscular disease.

Tracheostomy—A 10-year experience from a UK pediatric surgical center

Journal of Pediatric Surgery, 2007

Background/Purpose: Tracheostomy in the pediatric population is associated with significant morbidity and mortality compared to adult practice. This study highlights evolving experience from a UK children's hospital. Patients and Methods: All children undergoing tracheostomy between 1995 and 2004 were identified. Indications, complications, and outcomes were evaluated. Results: Complete case records were reviewed for 112 children (age range, newborn-18 years). Indications included congenital birth defects-craniofacial disorders, esophageal atresia, laryngeal cleft, cystic hygroma, vascular malformations. Acquired upper airway pathology (15.5%) and malacia (12.1%) were additional criteria. Tracheostomy was also required for long-term ventilation in patients with neuromuscular disorders (12.1%) or ventilator dependency (26.7 %). Fifty-eight (50%) tracheostomies were created in infants b1 year. One hundred and nine were elective procedures with only 7 (6%) for emergency airway management. Morbidity included wound problems (14, 14.4%), tube displacement or obstruction (14, 14.4%), tracheocutaneous fistula (6, 6.2%), and pneumothorax (4, 4.1%). There were no acute hemorrhagic complications. Two children died after accidental tube displacement/obstruction. Conclusion: Tracheostomy at this UK center is largely undertaken as an elective procedure. Children less than 1 year form an increasing patient group. Complications may be minimized by meticulous surgical technique and ensuring a comprehensive tracheostomy care program. D

Pediatric Tracheotomies: A 5-Year Experience In 152 Children

ENT Updates, 2018

Objective: To analyze the indications, complications, and outcomes of pediatric tracheotomies. Material and methods: All tracheotomies performed in a tertiary referral center between January 2011 and December 2015 were reviewed retrospectively. Demographic characteristics of patients, types of referral to hospital, tracheotomy indications, preoperative evaluation findings, surgical technique, postoperative care and complications, discharge and follow-up results were analyzed. Results: A total of 152 pediatric patients underwent tracheotomy at our hospital during this five year period. The median age of patients at the time of tracheotomy was 15.8 months, ranging from 24 days to 17 years. Of the 152 patients, 91 had neurological diseases, 38 had cardiopulmonary diseases, 14 had craniofacial abnormalities, seven had upper airway obstruction, and two underwent tracheostomy for trauma. Eleven (7.2%) patients experienced early complications, and 15 (9.8%) experienced late complications. Twenty (13.1%) patients were decannulated during the follow-up period. Unfortunately, 9 patients (5.9%) died of primary disease and 3 patients (1.9%) died of tracheostomy-related complications Conclusions: The majority of procedures were performed for diseases leading to prolonged mechanical ventilator support such as neurological and cardiopulmonary diseases. This study demostrates the importance of tracheotomy indications, which are the main predictors of decannulation rates. The other significant predictor is pulmonary complications that may cause permanent dependence of mechanical ventilator support as a result of pulmonary failure.

Unraveling the Evolving Trends of Pediatric Tracheostomy- An Overview at a Tertiary Care Center

Acta Scientific Otolaryngology

Otolaryngologists have long been concerned with pediatric airway care because of the vast range of problems that can arise in these situations. Tracheostomy was practiced in Greece, according to historical documents, and ever since it has served as the cornerstone of medical administration. Through bypassing any upper airway obstructive pathology, pediatric tracheostomy lessens dead space and, hence, the lung work load. It also gives access to suction and airway clearing. As medical technology has advanced throughout time, the indications and length of tracheostomies done on pediatric patients have changed. Our aim was to study the indications and the timing of performing tracheostomy in paediatric population at a tertiary care set up and to assess the complications and outcome for successful decannulation. The most frequent cause for prologed tracheostomy was Guillain Barre in children. They had good outcomes, including successful decannulation once their general health stabilized. The most frequent cause of death in our research population was cardiac arrest, with tube displacement and lower respiratory tract infection as the most frequent sequelae. Longer tracheostomy durations with a delay in decannulation were linked to longer PICU stays and longer hospital stays. The decannulation was successful in almost all instances, but the socioeconomic status, carer awareness, and general health of the patient determined the speed of weaning off and post-tracheostomy rehabilitation. Even in a developing nation like ours, improved access to intensive care units and medical progress have changed the way that children tracheostomies are thought of.

Tracheostomy, respiratory support, and developmental outcomes in neonates with severe lung diseases: Retrospective study in one center (original) (raw)

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