Pediatric Tracheotomy: 5-years of Experiences at a Tertiary Care Center
| Autor: | Asli Sahin Yilmaz, Serap Şahin Önder, Yaşar Kemal Duymaz, Arzu Tarlanova, Özgül Gergin Tinay |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
business.industry
Pediatric tracheotomy maturation suture technique upper airway obstruction Pediatric Tracheotomy medicine.disease Tertiary care Maturation Suture Technique Otorhinolaryngology Medicine Center (algebra and category theory) Kulak Burun Boğaz Pediatric tracheotomy Medical emergency Upper Airway Obstruction business |
| Zdroj: | Volume: 31, Issue: 3 66-69 The Turkish Journal of Ear Nose and Throat |
| ISSN: | 2602-4837 |
| Popis: | Objective: To describe specific indications and complications of pediatric tracheostomies performed in our tertiary care children’s hospital between 2015 and 2020.Materials and Methods: A retrospective study analyzing charts of pediatric tracheostomies utilizing the maturation suture technique was conducted. The review included patient data covering a 5-year period, commencing on the 1st of January 2015 through the 31st of May 2020.Results: Fifty-five patients (33 females, 22 male) were included in the study. A tracheostomy was performed to address complications arising from prolonged ventilation in 48 children (87%) or upper airway obstruction in 7 children (13%).There was one intraoperative complication that resulted in death. There was one early postoperative complication (2%) (one child suffered accidental decannulation and the cannula was replaced without further incident). There were 7 late postoperative complications all featuring peristomal granulation tissue (13%). There were 16 deaths; however, only one resulted from the tracheostomy as outlined above. Eight patients (15%) were successfully decannulated. In 6 cases, the tracheostomy was spontaneously closed. Repair of tracheoesophageal fistula was required in two patients.Conclusion: Currently, the tracheostomy is the preferred course of treatment. Though it can potentially lead to severe complications in children, instances of this occurring are rare. Therefore, a tracheostomy should be performed by a multidisciplinary team following predetermined rules in a specialized center. |
| Databáze: | OpenAIRE |
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