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- Title
Pediatric tracheotomy: Indications and decannulation outcomes.
- Authors
Funamura, Jamie L.; Durbin‐Johnson, Blythe; Tollefson, Travis T.; Harrison, Jeanette; Senders, Craig W.
- Abstract
Objectives/Hypothesis: The objective of this study was to determine if there are differences in decannulation rates and duration of cannulation between pediatric patients undergoing tracheotomy for different indications. Study Design: Retrospective chart review. Methods: Medical records for pediatric patients (age 0-18 years) undergoing tracheotomy between January 1, 2003, and May 31, 2012, were retrospectively reviewed. Patients were assigned an indication for tracheotomy from five categories: neurological, cardiopulmonary, upper airway obstruction, craniofacial anomalies, and maxillofacial/laryngotracheal trauma. Results: Initial chart review identified 124 patients, 113 for whom complete data was available. Of these patients, the indications for tracheotomy were cardiopulmonary disease in 24 (21.2%), craniofacial anomalies in 12 (10.6%), neurological impairment in 44 (38.9%), traumatic injury in 11 (9.7%), and upper airway obstruction in 22 (19.5%). The time to decannulation was shorter for trauma patients compared to cardiopulmonary (P = 0.044) and neurological patients (P = 0.001). A total of 32 (31.9%) patients were decannulated during the study period, with a higher rate in trauma patients (72.7%) and a lower rate in those with upper airway obstruction (36.4%) than would be expected under homogeneity. Of the 32 patients who were decannulated, 11 (30.6%) were decannulated during the same hospitalization in which the tracheotomy was performed. Conclusion: This study demonstrates a difference in overall decannulation rates and a shorter time to decannulation in children undergoing tracheotomy for maxillofacial and laryngotracheal trauma compared to cardiopulmonary and neurological indications.
- Subjects
TRACHEA physiology; PEDIATRIC surgery; RESPIRATORY obstructions; CARDIOPULMONARY system; DISEASES; NERVOUS system abnormalities; BRAIN injuries
- Publication
Laryngoscope, 2014, Vol 124, Issue 8, p1952
- ISSN
0023-852X
- Publication type
Article
- DOI
10.1002/lary.24596