Social impact of paediatric tracheostomy: our experiences at a tertiary care teaching hospital

Swain, Santosh Kumar; Acharya, Satyabrata

doi:10.5114/polp.2020.97074

Cited by 5 publications

(6 citation statements)

References 11 publications

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“…15 It also prevents laryngotracheal stenosis by avoiding prolonged intubation. 16 Tracheostomy facilitates weaning from ventilator by avoiding ventilator dead space. 17 Laryngomalacia, recurrent laryngeal papillomatosis, and laryngotracheal stenosis are common indications for tracheostomy in the pediatric age group.…”

Section: Indications Of Pediatric Tracheostomymentioning

confidence: 99%

Pediatric tracheostomy: a review

Swain

2022

Int J Contemp Pediatr

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Tracheostomy is a life shaving surgery done in critically sick patients. Pediatric tracheostomy is a surgical procedure performed since ancient times. Performing tracheostomy in the pediatric age group is often challenging because of its association with morbidity and mortality. The indications for pediatric tracheostomy have been changed significantly in the last few decades. In pediatric patients, the common indications for tracheostomy are prolonged ventilation and upper airway obstruction. Advanced methods in pediatric anesthesia and increased awareness for vaccination for serious infections like measles, mumps, diphtheria, tetanus, and hemophilus influenza type b (Hib) among pediatric age increased the changing indications for performing tracheostomy from emergency to more elective one. There are numerous research papers available in medical literature for adult tracheostomy with its indications, surgical techniques, and complications, but literature for pediatric tracheostomy is scarce. This is always a requirement for standard guidelines for standard protocols for pediatric tracheostomy. Proper standardization of pediatric tracheostomy, timing, and appropriate indications are helpful to reduce the complications and mortality related to pediatric tracheostomy. Here, this review article is attempting to discuss the indications, preoperative evaluation, surgical techniques, complications, and post-operative care of the pediatric tracheostomy.

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Section: Indications Of Pediatric Tracheostomymentioning

confidence: 99%

Pediatric tracheostomy: a review

Swain

2022

Int J Contemp Pediatr

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“…22 VAP is often acquired in the patients in approximately 48 to 72 hours after mechanical ventilation. 23 The main objective of the mechanical ventilation was to help towards the gas exchange without resulting injury to the lungs. However, mechanical ventilation can cause injury to the lungs by stress and strain developed in the lungs.…”

Section: Ventilator Associated Pneumoniamentioning

confidence: 99%

Role of early tracheostomy for preventing ventilator associated pneumonia in intensive care unit: a review

Swain

Jena

2021

Int J Otorhinolaryngol Head Neck Surg

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<p class="abstract">Tracheostomy often plays a crucial role in airway management of the patients in intensive critical unit (ICU). Tracheostomy is often helpful for improvement of the respiratory mechanics and the patient comfort. There are several advantages of the trachesotomy over the endotracheal tube intubation such as avoidance of the injury of the larynx, provide a stable airway, facilitates pulmonary toilet and facilitates ventilation. It has been suggested that tracheostomy also helpful to reduce the risk of ventilator associated pneumonia (VAP) in comparison to the trans-laryngeal intubation. VAP is a type of nosocomial infection which has been associated with presence of mechanical ventilation. Despite significant improvement in managing the intubated patients, VAP remains a common and sometimes fatal complication in the ICU. Clinician’s attitude towards trachesotomy may be still heterogeneous in ICU and the decision for performing tracheostomy is still challenging. However, early tracheostomy is associated with less VAP, less ICU stay, avoid higher number of intubation in early group of tracheostomy and higher patient comfort. The purpose of this review article was to discuss the etiopathology of VAP, epidemiology, role of early tracheostomy in VAP and prevention of the VAP in patients with mechanical ventilation in ICU.</p>

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“…8 Parents are reluctant to accept their children with tracheostomies and have difficulty communicating and integrating socially. 9 Parents spend too much time caring for their children and endure a heavy burden related to changes in parental roles, helplessness, and lack of professional support. 10 The main challenges faced by family members of children with tracheostomies are coping with the new situation, new care demands, difficulty acquiring material, and limitations on social life.…”

Section: Introductionmentioning

confidence: 99%

Home care experiences of mothers of children with tracheostomies – a qualitative study

Donmez,

Gozetici

2023

Eur J Clin Exp Med

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Introduction and aim. Parents of children who are addicted to technology have many problems in home care. This study aimed to describe the home care experiences of mothers of children with tracheostomies. Material and methods. The study adopted Husserl’s phenomenological method, a qualitative research design. The sample consisted of 23 mothers of children with tracheostomies followed up in the pediatric pulmonology outpatient clinic of a university hospital. All participants cared for their children at home. Data were collected using a sociodemographic questionnaire and a semi-structured interview questionnaire. All interviews were recorded and transcribed. Results. Children (12 girls and 11 boys) had a mean age of 3.43±3.326 years. The mean age of tracheostomy insertion was 2.8±2.508 years. Seventeen children were on ventilator support. All participants were mothers with a mean age of 32.34±6.00 years. Half the mothers had primary school degrees (52.2%). The interviews revealed one main theme (burnout), three subthemes (social isolation, perception of competence, and regrets), and five categories (burden of care, fear, awareness, decisions, and role confusion). Conclusion. Mothers of children with tracheostomies experience numerous problems when they provide home care. They mostly have difficulty improving themselves and enduring role confusion. We must address the issues mothers of children with tracheostomies face during home care to reduce the prevalence of potential complications and improve the quality of care for both them and their children.

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Social impact of paediatric tracheostomy: our experiences at a tertiary care teaching hospital

Cited by 5 publications

References 11 publications

Pediatric tracheostomy: a review

Pediatric tracheostomy: a review

Role of early tracheostomy for preventing ventilator associated pneumonia in intensive care unit: a review

Home care experiences of mothers of children with tracheostomies – a qualitative study

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