Julie E Strychowsky1, David Albert2, Kenny Chan3, Alan Cheng4, Sam J Daniel5, Alessandro De Alarcon6, Noel Garabedian7, Catherine Hart6, Christopher Hartnick8, Andy Inglis9, Ian Jacobs10, Monica E Kleinman11, Nilesh M Mehta11, Richard Nicollas12, Roger Nuss13, Seth Pransky14, John Russell15, Mike Rutter6, Anne Schilder16, Dana Thompson17, Jean-Michel Triglia12, Mark Volk13, Bob Ward18, Karen Watters13, Michelle Wyatt2, George Zalzal19, Karen Zur10, Reza Rahbar13. 1. Department of Otolaryngology and Communication Enhancement, Boston Children's Hospital, Boston, Massachusetts, United States; Department of Otolaryngology-Head and Neck Surgery, Children's Hospital at London Health Sciences Centre, Western University, London, Ontario, Canada. Electronic address: julie.strychowsky@lhsc.on.ca. 2. Great Ormond Street Hospital for Children, London, United Kingdom. 3. Children's Hospital Colorado, Aurora, Colorado, United States. 4. Department of Pediatric Otolaryngology, The Sydney Children's Hospital Network-Westmead Campus, The University of Sydney, Sydney, NSW, Australia. 5. Montreal Children's Hospital, McGill University Health Center, Montreal, Quebec, Canada. 6. Cincinnati Children's Hospital, Cincinnati, Ohio, United States. 7. Pediatric ENT Department, Hôpital Necker-Enfants Malades, AP-HP, Université Paris Descartes, Paris, France. 8. Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, Massachusetts, United States. 9. Seattle Children's Hospital, Seattle, Washington, United States. 10. Division of Otolaryngology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States. 11. Division of Critical Care Medicine, Department of Anesthesiology, Perioperative and Pain Medicine, Boston Children's Hospital, Boston, Massachusetts, United States. 12. Aix-Marseille Université, Department of Pediatric Otolaryngology, La Timone Children's Hospital, Marseille, France. 13. Department of Otolaryngology and Communication Enhancement, Boston Children's Hospital, Boston, Massachusetts, United States; Department of Otology and Laryngology, Harvard Medical School, Boston, Massachusetts, United States. 14. Rady Children's Hospital, San Diego, California, United States. 15. Our Lady's Children's Hospital, Crumlin, Dublin, Ireland. 16. evidENT, UCL Ear Institute, Royal National Throat, Nose and Ear Hospital, London, United Kingdom. 17. Division of Otolaryngology-Head and Neck Surgery, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois, United States. 18. Department of Otolaryngology-Head and Neck Surgery, NYU Langone Medical Center, New York, NY, United States. 19. Department of Otolaryngology, Children's National Hospital, Washington, DC, United States.
Abstract
OBJECTIVES: To develop consensus recommendations for peri-operative tracheotomy care in pediatric patients. METHODS: Expert opinion by the members of the International Pediatric Otolaryngology Group (IPOG). The mission of the IPOG is to develop expertise-based consensus recommendations for the management of pediatric otolaryngologic disorders with the goal of improving patient care. The consensus recommendations herein represent the first publication by the group. RESULTS: Consensus recommendations including pre-operative, intra-operative, and post-operative considerations, as well as sedation and nutrition management are described. These recommendations are based on the collective opinion of the IPOG members and are targeted to (i) otolaryngologists who perform tracheotomies on pediatric patients, (ii) intensivists who are involved in the shared-care of these patients, and (iii) allied health professionals. CONCLUSION: Pediatric peri-operative tracheotomy care consensus recommendations are aimed at improving patient-centered care in this patient population.
OBJECTIVES: To develop consensus recommendations for peri-operative tracheotomy care in pediatric patients. METHODS: Expert opinion by the members of the International Pediatric Otolaryngology Group (IPOG). The mission of the IPOG is to develop expertise-based consensus recommendations for the management of pediatric otolaryngologic disorders with the goal of improving patient care. The consensus recommendations herein represent the first publication by the group. RESULTS: Consensus recommendations including pre-operative, intra-operative, and post-operative considerations, as well as sedation and nutrition management are described. These recommendations are based on the collective opinion of the IPOG members and are targeted to (i) otolaryngologists who perform tracheotomies on pediatric patients, (ii) intensivists who are involved in the shared-care of these patients, and (iii) allied health professionals. CONCLUSION: Pediatric peri-operative tracheotomy care consensus recommendations are aimed at improving patient-centered care in this patient population.
Authors: Rafat Mosalli; Gamal A Aboumoustafa; Wed Khayyat; Aziza N Bokhari; Mohammed A Almatrafi; Mohammed Ghazi; Bosco Paes Journal: Risk Manag Healthc Policy Date: 2022-09-22