AI Article Synopsis
- Pediatric tracheostomy requires thorough pre-operative assessment, family education, skilled surgical procedures, and multidisciplinary care post-operation to ensure safety and effectiveness.
- It has a low occurrence rate of 0.2% in pediatric inpatient stays, with mortality rates between 10-20% linked to the serious health conditions of the patients, although major complications have become rare.
- Current studies emphasize the need for improved decision-making and care strategies, with a call for more research to standardize protocols for the safe removal of tracheostomies.
Article Abstract
Purpose Of Review: Tracheostomy in a child demands critical pre-operative evaluation, deliberate family education, competent surgical technique, and multidisciplinary post-operative care. The goals of pediatric tracheostomy are to establish a safe airway, optimize ventilation, and expedite discharge. Herein we provide an update regarding timing, surgical technique, complications, and decannulation, focusing on a longitudinal approach to pediatric tracheostomy care.
Recent Findings: Pediatric tracheostomy is performed in approximately 0.2% of inpatient stays among tertiary pediatric hospitals. Mortality in children with tracheostomies ranges from 10-20% due to significant comorbidities in this population. Tracheostomy-specific mortality and complications are now rare. Recent global initiatives have aimed to optimize decision-making, lower surgical costs, reduce the length of intensive care, and eliminate perioperative wound complications. The safest road to tracheostomy decannulation in children remains to be both patient and provider dependent.
Summary: Recent literature provides guidance on safe, uncomplicated, and long-term tracheostomy care in children. Further research is needed to help standardize decannulation protocols.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8047564 | PMC |
| http://dx.doi.org/10.1007/s40136-021-00340-y | DOI Listing |
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