OBJECTIVE: In the 1970s, the most common indication for tracheostomy in children was acute inflammatory airway obstruction. Modern neonatal intensive care units have turned long-term intubation into an alternative to tracheostomy. Long-term intubation itself has become the most important indication for tracheostomy combined with subglottic stenosis. METHODS: Retrospective analysis in a tertiary referral center. A total of 38 patients who underwent tracheostomy for respiratory failure and upper airway obstruction from 1 November 1998 to 30 November 2004. RESULTS: Total complication rate was 42.1%. In children under 1 year of age the complication rate was 47.4%, in children over 1 year the complication rate was 26.3%. Decannulation was attempted in 12 patients with a cannulation time of 22 months. CONCLUSIONS: Long-term intubation and its sequelae have now become one of the most important indication for tracheostomy. The change of indication has also entailed a decrease of the average age of children who require tracheostomy. A longer period before decannulation and a lower average age have changed the complication rate of tracheostomy in paediatric patients.
OBJECTIVE: In the 1970s, the most common indication for tracheostomy in children was acute inflammatory airway obstruction. Modern neonatal intensive care units have turned long-term intubation into an alternative to tracheostomy. Long-term intubation itself has become the most important indication for tracheostomy combined with subglottic stenosis. METHODS: Retrospective analysis in a tertiary referral center. A total of 38 patients who underwent tracheostomy for respiratory failure and upper airway obstruction from 1 November 1998 to 30 November 2004. RESULTS: Total complication rate was 42.1%. In children under 1 year of age the complication rate was 47.4%, in children over 1 year the complication rate was 26.3%. Decannulation was attempted in 12 patients with a cannulation time of 22 months. CONCLUSIONS: Long-term intubation and its sequelae have now become one of the most important indication for tracheostomy. The change of indication has also entailed a decrease of the average age of children who require tracheostomy. A longer period before decannulation and a lower average age have changed the complication rate of tracheostomy in paediatric patients.
Authors: Fulya Kamit Can; Ayşe Berna Anıl; Murat Anıl; Murat Gümüşsoy; Hale Çitlenbik; Tolga Kandoğan; Neslihan Zengin Journal: Turk Pediatri Ars Date: 2018-09-01
Authors: Sara B DeMauro; Jo Ann D'Agostino; Carla Bann; Judy Bernbaum; Marsha Gerdes; Edward F Bell; Waldemar A Carlo; Carl T D'Angio; Abhik Das; Rosemary Higgins; Susan R Hintz; Abbot R Laptook; Girija Natarajan; Leif Nelin; Brenda B Poindexter; Pablo J Sanchez; Seetha Shankaran; Barbara J Stoll; William Truog; Krisa P Van Meurs; Betty Vohr; Michele C Walsh; Haresh Kirpalani Journal: J Pediatr Date: 2014-01-25 Impact factor: 4.406