Separação laringotraqueal em pacientes pediátricos: 13 anos de experiência em um serviço de referência

Autor: Antunes, Letícia Alves, Talini, Carolina, de Carvalho, Bruna Cecília Neves, Guerra, Jessica Pareja, Aristides, Ewerton dos Santos, de Oliveira, Darken Eugênio, Avilla, Sylvio Gilberto Andrade
Rok vydání: 2019
Předmět:
Male
medicine.medical_specialty
Traqueia/cirurgia
Adolescent
medicine.medical_treatment
lcsh:Medicine
Criança
Pneumonia
Aspiration
Pneumonia aspirativa
03 medical and health sciences
Larynx/surgery
Postoperative Complications
0302 clinical medicine
Recurrence
Intensive care
Statistical significance
medicine
Humans
030212 general & internal medicine
Child
Retrospective Studies
Mechanical ventilation
aspiration
business.industry
Incidence (epidemiology)
lcsh:R
Infant
Reproducibility of Results
Retrospective cohort study
Pneumonia
General Medicine
Nervous system diseases
medicine.disease
Gastrostomy
Surgery
Trachea
Laringe/cirurgia
Treatment Outcome
Recurrent aspiration pneumonia
Child
Preschool
030220 oncology & carcinogenesis
Doenças do sistema nervoso
Quality of Life
Original Article
Female
Larynx
Trachea/surgery
business
Zdroj: Einstein
einstein (São Paulo) v.17 n.3 2019
Einstein (São Paulo)
Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE)
instacron:IIEPAE
Einstein (São Paulo), Volume: 17, Issue: 3, Article number: eAO4467, Published: 03 JUN 2019
Einstein (São Paulo), Vol 17, Iss 3
ISSN: 2317-6385
1679-4508
DOI: 10.31744/einstein_journal/2019ao4467
Popis: Objective: To evaluate clinical stability of neurologically impaired children and adolescents with recurrent pneumonia submitted to laryngotracheal separation. Methods: Between October 2002 and June 2015, 92 neurologically impaired children from a reference service, with median age of 68.5 months were submitted to laryngotracheal separation. Data were evaluated and statistical analysis was made by Student's t test and Pearson's χ2 test (significance level adopted of 95%). Results: Fifty-three children were male (57.6%). Forty-six children required admission to intensive care, and 42.4% needed mechanical ventilation. We observed that 90.2% of patients were exclusively fed by gastrostomy and 72.4% of the gastrostomies were performed before the tracheal surgery. Thirteen (14.1%) children had postoperative complications as follows: fistulae (5.4%), bleeding (4.3%), granuloma (2.2%) and stenosis (3.2%). A total of 24 patients had pneumonia in the postoperative period (26.1%), but there was a significant drop in occurrence of this condition after surgery (100% versus 26.1%; p
Databáze: OpenAIRE
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