M M C Yaneza1, H L James2, H P James, P Davies3, S Harrison1, L McAlorum4, W A Clement1, H Kubba1. 1. Department of Otolaryngology,The Royal Hospital for Sick Children (Yorkhill),Glasgow,UK. 2. University of Glasgow Medical School, Glasgow University,Scotland,UK. 3. Department of Paediatric Respiratory Medicine,The Royal Hospital for Sick Children (Yorkhill),Glasgow,UK. 4. Department of Speech and Language Therapy,The Royal Hospital for Sick Children (Yorkhill),Glasgow,UK.
Abstract
OBJECTIVE: This paper presents our experience of managing children with a tracheostomy in a multidisciplinary team clinic consisting of an ENT consultant, paediatric respiratory consultant, a nurse specialist, and speech and language therapist. METHOD: A retrospective case note review was conducted of all children seen in the multidisciplinary team tracheostomy clinic (at a tertiary paediatric hospital) between February 2009 and September 2014. RESULTS: Ninety-seven patients were examined. The most common indications for tracheostomy were: lower airway and respiratory problems (66 per cent), upper airway obstruction (64 per cent), and neurodevelopmental problems (60.8 per cent). CONCLUSION: Children with a tracheostomy are a diverse group of patients. The most common indications for paediatric tracheostomy have changed from infective causes to airway obstruction and anomalies, long-term ventilation requirement, and underlying neuromuscular or respiratory problems. Our unified approach empowers the carers and patient, as a home management plan, long-term plan and goals are generated at the end of each appointment.
OBJECTIVE: This paper presents our experience of managing children with a tracheostomy in a multidisciplinary team clinic consisting of an ENT consultant, paediatric respiratory consultant, a nurse specialist, and speech and language therapist. METHOD: A retrospective case note review was conducted of all children seen in the multidisciplinary team tracheostomy clinic (at a tertiary paediatric hospital) between February 2009 and September 2014. RESULTS: Ninety-seven patients were examined. The most common indications for tracheostomy were: lower airway and respiratory problems (66 per cent), upper airway obstruction (64 per cent), and neurodevelopmental problems (60.8 per cent). CONCLUSION:Children with a tracheostomy are a diverse group of patients. The most common indications for paediatric tracheostomy have changed from infective causes to airway obstruction and anomalies, long-term ventilation requirement, and underlying neuromuscular or respiratory problems. Our unified approach empowers the carers and patient, as a home management plan, long-term plan and goals are generated at the end of each appointment.
Entities:
Keywords:
Clinical Nurse Specialist; Otolaryngology; Pediatrics; Pulmonary Medicine; Speech And Language Disorder Rehabilitation; Tracheostomy