Pediatric tracheotomies: A 37-year experience in 282 children

Özmen, Süay; Özmen, Özlem; Ünal, Ömer Faruk

doi:10.1016/j.ijporl.2009.03.020

Cited by 128 publications

(161 citation statements)

References 16 publications

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“…Later, the wide use of vaccination programmes, mainly against Corynebacterium diphtheriae and Haemophilus influenzae, together with the development of new anaesthetic materials and techniques to stabilise the upper airway, spectacularly reduced the number of emergent procedures in most series [1][2][3][4]. Nevertheless, despite these advances, the incidence of tracheostomy in children has not fallen; indeed, it has even risen in some hospitals [5][6][7][8]. This has been attributed to increased survival of assisted patients in paediatric and neonatal intensive care units (ICUs), with the progressive appearance of what has been termed the ''technology-dependent paediatric patient'' [9], referring mainly to children on long-term assisted ventilation, or with congenital or acquired upper airway anomalies.…”

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confidence: 99%

Paediatric patients with a tracheostomy: a multicentre epidemiological study

Pérez-Ruíz¹,

Caro²,

Pérez‐Frías³

et al. 2012

Eur Respir J

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Changes in the indications for tracheostomy in children have led to the progressively greater involvement of the paediatric pulmonologist in the care of these patients. The aim of this study was to review the current profile of tracheostomised children in Spain.We undertook a longitudinal, multicentre study over 2 yrs (2008 and 2009) of all patients aged between 1 day and 18 yrs who had a tracheostomy.The study, involving 18 Spanish hospitals, included 249 patients, of whom 150 (60.2%) were ,1 yr of age. The main indications for the procedure were prolonged ventilation (n5156, 62.6%), acquired subglottic stenosis (n534, 13.6%), congenital or acquired craniofacial anomalies (n525, 10%) and congenital airway anomalies (n524, 9.6%). The most frequent underlying disorders were neurological diseases (n5126, 50.6%) and respiratory diseases (n598, 39.3%). Over the 2-yr study period, 92 (36.9%) children required ventilatory support, and decannulation was achieved in 59 (23.7%). Complications arose in 117 patients (46.9%). Mortality attributed to the underlying condition was 12.5% and that related directly to the tracheostomy was 3.2%.Respiratory complexity of tracheostomised children necessitates prolonged, multidisciplinary follow-up, which can often extend to adulthood.

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confidence: 99%

Paediatric patients with a tracheostomy: a multicentre epidemiological study

Pérez-Ruíz¹,

Caro²,

Pérez‐Frías³

et al. 2012

Eur Respir J

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“…Although there was only a 1% mortality rate from tracheotomy-related issues, a 19% mortality rate was observed due to disease progression or complications. [5] A similar study in New…”

Section: Clinical Relevancementioning

confidence: 73%

“…The simplest approach to provide a stable airway is to perform a tracheotomy but it requires complex care with its own complications. [2][3][4][5][6][7] Other surgical procedures to reconstruct the airway require detailed knowledge of the normal pediatric airway and its variance between individuals. [8][9][10][11][12][13][14][15] Establishing the characteristics of the normal airway and congenital abnormalities is imperative to quantitatively assess if a reconstructed airway is enlarged enough to provide sufficient airflow.…”

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confidence: 99%

Graph-based segmentation of the pediatric trachea in MR images to model growth

Amendola

2013

SPIE Proceedings

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“…The respiratory tract management procedures have been carried out using the image-based measurement data from X-ray photography [1], bronchoscopy [2], computed tomography (CT) [3] and the morphometrical data through cadavers [4]. Recently, the rate of procedures is growing again as the development of respiratory diseases' management and treatment have led to an increase in the number of the patients under long-term managements of the respiratory tract [5]. The complications coming from the increased rate are frequently caused by inappropriate positioning and distorted anatomical position [6].…”

Section: Introductionmentioning

confidence: 99%

The Morphometric Study of Main Bronchus in Korean Cadaver

Kim

Song

2017

Korean J Phys Anthropol

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: This morphometric study of main bronchus was performed to provide the basic data necessary for anatomists, anesthetists and emergency medical technicians. A total of 48 cadavers, 33 men and 15 women, were used in this study. When it comes to their average age, men were 70 years old (50 to 91 years old), and women were 74 years old (47 to 92 years old). For this study, the length of the left and right main bronchi and the angle between them, and the first bronchial cartilage's each anteroposterior diameter, transverse diameter, vertical height, and distance between posterior ends of cartilage were measured.As for the length, left length was longer than right length regardless of gender, and there was no significant difference between men and women. When it comes to anterorposterior diameter, transverse diameter, and distance between posterior ends of the first bronchial cartilage in main bronchi, the right side was longer and wider than left side regardless of gender, but statistical significance was shown only in the distance between posterior ends of cartilage. Vertical height of the first bronchial cartilage in main bronchi did not show any difference between the left and right and between men and women, and men cadavers had a very large individual difference from 2.35 mm to 9.22 mm. As for the angle of the main bronchi's separation from trachea's major axis, the left side was larger than the right side in both men and women cadavers and it was larger in men than women, but there was no significant statistical difference. Lastly, as for the length of the main bronchi, the right and left lengths in men were 16.83±1.36 and 37.26±1.42 mm respectively; and the right and left lengths in women were 16.90±2.26 and 36.08±3.39 mm respectively. These results are expected to be used as the basic clinical data useful for medical procedures of emergency care practitioners, anesthetists and emergency medical technicians.

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Pediatric tracheotomies: A 37-year experience in 282 children

Cited by 128 publications

References 16 publications

Paediatric patients with a tracheostomy: a multicentre epidemiological study

Paediatric patients with a tracheostomy: a multicentre epidemiological study

Graph-based segmentation of the pediatric trachea in MR images to model growth

The Morphometric Study of Main Bronchus in Korean Cadaver

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