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Disparities in Medication Prescriptions and Post-Tracheostomy Outcomes in Pediatric Patients.
Ann Otol Rhinol Laryngol
January 2025
University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Background: Granulation tissue formation and tracheitis are common pediatric tracheostomy complications. Ciprofloxacin/dexamethasone is frequently prescribed, but the influence of social determinants on this topic is unexplored.
Methods: This study extends a prior cohort study of pediatric tracheostomy patients at a single academic institution from 2016 to 2020.
Introduction: Post tracheostomy tracheal stenosis is a clinically relevant late complication of tracheostomy. To date there is no standardized treatment strategy for post tracheostomy tracheal stenosis. Contact cryoablation is one of the applicable methods.
View Article and Find Full Text PDFLow-Resource Hospital Days for Children Following New Tracheostomy.
Pediatrics
September 2024
University of Minnesota Masonic Children's Hospital, University of Minnesota, Minneapolis, Minnesota.
Article Synopsis
- The study focused on children with new tracheostomies and invasive mechanical ventilation (IMV), aiming to identify and characterize low-resource days (LRDs) during their transitional care in the hospital.
- It analyzed data from 4048 children, revealing that 38.6% experienced at least one LRD, with younger age and longer hospital stays being key factors associated with higher rates of LRDs.
- The findings emphasize the need to understand hospital resource use during recovery to improve care models for these children.
Tracheal Cartilage Fracture: A Rare Cause of Weaning Failure.
Cureus
June 2024
Respiratory Medicine, Dr. D. Y. Patil Medical College Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth, Pune (Deemed to be University), Pune, IND.
Article Synopsis
- A 42-year-old woman developed a rare complication—a fracture of the tracheal ring—after multiple tracheostomy procedures due to respiratory failure stemming from organophosphate poisoning.
- Initially intubated and later tracheostomized, she faced ongoing respiratory issues, including stridor and breathlessness, requiring emergency medical intervention and repeat tracheostomy.
- After discovering a broken tracheal cartilage obstructing her airway via bronchoscopy, the obstruction was addressed, allowing her to improve, undergo tracheal repair, be decannulated, and ultimately discharged in good health.
Gossypiboma larynx: a rare cause of post-tracheostomy stridor-case report and review of literature.
J Med Case Rep
June 2024
Department of Thoracic Anesthesia, SDS and Rajiv Gandhi Institute of Chest Diseases, Bangalore, Karnataka, India.
Article Synopsis
- Gossypiboma is a rare but serious complication where a surgical sponge is retained after surgery, leading to foreign body reactions, particularly noted in cases following tracheostomy.
- A 32-year-old man experienced respiratory distress one month post-tracheostomy due to a retained surgical sponge, identified through a CT scan and bronchoscopic evaluation, which was successfully removed.
- Strong awareness and vigilance in clinical practice are crucial to detect and address gossypiboma, especially in patients with respiratory issues after surgery, to avoid legal and professional repercussions.
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