Tracheostomy in children.

Details

Serval ID
serval:BIB_DC74CD99E0F8
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Tracheostomy in children.
Journal
European journal of pediatrics
Author(s)
Simma B., Spehler D., Burger R., Uehlinger J., Ghelfi D., Dangel P., Hof E., Fanconi S.
ISSN
0340-6199
Publication state
Published
Issued date
1994
Peer-reviewed
Oui
Volume
153
Number
4
Pages
291-6
Language
english
Notes
Publication types: Journal Article ; Review - Publication Status: ppublish
Abstract
We reviewed the records of 108 patients who had a tracheostomy performed over a 10-year period from July 1979 to April 1989. Median age at tracheostomy was 6 months (1 week-15 years). Indications for surgery were acquired subglottic stenosis (31.4%), bilateral vocal cord paralysis (22.2%), congenital airway malformations (22.2%) and tumours (11.1%). No epiglottis and no emergency situation had to be managed by tracheostomy. Operation was uneventful in all, but 8 patients (7.4%) developed a pneumothorax in the postoperative period. Twenty-one (19.5%) had severe complications during the cannulation period (tube obstruction in 11 patients with cardiorespiratory arrest in 4; dislocation of the tube in 6 patients). Fifteen patients (13.8%) had severe complications after decannulation (2 had a cardiorespiratory arrest); all 15 had to be recannulated. At the end of the study period 85 patients (78.7%) were successfully decannulated with a median period of tracheostomy of 486 days (8 days-6.6 years). The median hospital stay was 159 days (13 days-2.7 years). All patients could be discharged. Eight patients (7.4%) died but no death was related to tracheostomy. In summary the mortality rate is lower than reported in previous reviews and tracheostomy is a safe operation even in small children but cannula-related complications may lead to life-threatening events. The management of tracheostomized small children and infants in a highly staffed and monitored intensive care unit has allowed better handling of complications and has resulted in a reduction in cannula-related deaths.
Keywords
Adolescent, Child, Child, Preschool, Humans, Infant, Infant, Newborn, Intensive Care Units, Pediatric, Retrospective Studies, Tracheostomy
Pubmed
Web of science
Create date
25/01/2008 11:06
Last modification date
20/08/2019 17:01
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