Tracheostomy—A 10-year experience from a UK pediatric surgical center

Corbett, Harriet J.; Mann, Kathy; Mitra, Indu; Jesudason, Edwin C.; Losty, Paul D.; Clarke, R. W.

doi:10.1016/j.jpedsurg.2007.02.017

Cited by 126 publications

(138 citation statements)

References 19 publications

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“…Of the few articles that address the topic of tracheostomy-related wounds, the occurrence of wounds is mentioned, but specific treatments administered, duration of treatment, or recommendations are not described. [3][4][5][6][7] Although sponge and gauze barriers present viable solutions, the healing course is often lengthy and unpredictable and sometimes complete healing is not achieved. As these wounds lie in close proximity to the respiratory tract, it is important to also bear in mind the absorptive properties inherent in this region and to pay careful attention to the treatment options considered.…”

Section: Discussionmentioning

confidence: 99%

“…1,2 Many studies have looked at outcomes of tracheostomies, reporting on the mortality rates and major complications such as hemorrhage, dislodgement, and pneumothorax. [3][4][5] Only a few studies have included wound healing in their series of tracheostomy-related complications. 6 Regardless, wounds related to pediatric tracheostomies are common.…”

Section: Introductionmentioning

confidence: 99%

“…Tracheostomyrelated wounds may occur despite healthcare vigilance, preventive management, and early intervention. These wounds have a relatively high incidence in children compared with adults, as summarized by Corbett et al, 4 with the morbidity and mortality associated with tracheostomy being 2-3 times higher in children than adults. Prevention of hospital-acquired and device-related wounds is an area of increasing interest.…”

Section: Introductionmentioning

confidence: 99%

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Enhanced Tracheostomy Wound Healing Using Maltodextrin and Silver Alginate Compounds in Pediatrics: A Pilot Study

et al. 2014

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BACKGROUND: Tracheostomy wounds are commonly encountered in children but rarely reported. Relatively few treatments are available or have been investigated to manage this problem. Healing times for pediatric tracheostomy wounds are often unpredictable and protracted. Recent use of maltodextrin gel (MD) and a silver alginate sponge (AG) at our institution has demonstrated expedited healing and interest in this novel treatment for tracheostomy wounds. METHODS: We conducted an 11-month retrospective review of children with wound complications following tracheostomy placement at a tertiary care facility. Wounds were evaluated and rated based upon the National Pressure Ulcer Advisory Panel staging system. Subjects identified with stage 2 or greater tracheostomy-related ulcers treated with MD and/or AG were included. Subject characteristics and wound healing rates were tabulated in a database that included age, wound site, initial and final wound stage, type of treatment, length of treatment, and complications. Tracheostomy wounds treated as an out-patient were excluded from the study. RESULTS: Eighteen subjects, which included both in-patients and out-patients, were treated with AG and/or MD during the study period for tracheostomy-related wounds. Of the 26 subjects with tracheostomies performed during the study period, 10 (38.5%) were treated for postoperative wounds. A total of 11 subjects completed their in-patient wound treatment and were thus included in the study. Average subject age was 5.3 y (range 0.25-15.6 y). Wound locations were as follows: infrastomal region (n ‫؍‬ 8), stoma (n ‫؍‬ 2), and lateral neck (n ‫؍‬ 1). Six subjects had stage 2 wounds, 4 had stage 3 wounds, and 1 had a stage 4 ulcer. All wounds achieved complete epithelialization following treatment with MD and/or AG. The average length of treatment was 12.8 d (range 6 -28 d). No adverse effects were identified. CONCLUSIONS: Postoperative tracheostomy wounds are common. The use of MD and AG provides an effective and safe treatment for tracheostomy-related ulcers.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Enhanced Tracheostomy Wound Healing Using Maltodextrin and Silver Alginate Compounds in Pediatrics: A Pilot Study

et al. 2014

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“…Nevertheless, it is most frequently performed on children less than 1 year old. [11][12][13][14] The increase in tracheostomies within this age group has been attributed to increases in the survival of premature newborn infants and those requiring prolonged ventilation. 4 The decision to perform a tracheostomy on a child is complex and depends on several factors, including the severity of airway obstruction, the difficulty and duration of intubation and the child's subjacent medical condition.…”

Section: Indicationsmentioning

confidence: 99%

“…2 Specific training for the health professionals who care for these children also reduces the incidence of complications, as does teaching relatives and members of the community who care for these children about care and resuscitation maneuvers. 13 Up to 40% of children with tracheostomies may die, while mortality directly related to the tracheostomy varies from 0 to 6%. 15 …”

Section: Complicationsmentioning

confidence: 99%

Traqueostomia na criança

Fraga¹,

Souza²,

Kruel³

2009

J. Pediatr. (Rio J.)

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Objective: To provide an up-to-date review of pediatric tracheostomy, primarily focusing on indications, surgical technique, complications and hospital and home care.Sources: MEDLINE and PubMed databases were searched using the following keywords: tracheostomy, tracheotomy, children, newborn. Summary of the findings:Indications for tracheostomy in children are changing. Today the most common indication is prolonged ventilation. The age at the time of the procedure has also changed, with a peak incidence of tracheostomy in patients less than 1 year old. Except under emergency conditions, pediatric tracheostomy should be performed in the operating room with the child intubated. A horizontal skin incision with vertical tracheal incision and no tracheal resection is recommended. Although post-tracheostomy complications are not uncommon, they usually do not need special treatment or surgical procedures. Tracheostomy mortality can occur in up to 40% of pediatric cases, however the tracheostomy-related mortality rate is only 0 to 6%. Conclusions:The decision to perform a tracheostomy remains complex, and depends on several factors. The procedure is safe and with a low number of complications if carried out at a tertiary hospital by a trained and experienced team.J Pediatr (Rio J). 2009;85(2):97-103: Tracheostomy, tracheotomy, prolonged intubation, children, newborn.

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Tracheostomy care and management

Cooke¹

2023

The Great Ormond Street Hospital Manual of Children and Young People's Nursing Practices

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Tracheostomy—A 10-year experience from a UK pediatric surgical center

Cited by 126 publications

References 19 publications

Enhanced Tracheostomy Wound Healing Using Maltodextrin and Silver Alginate Compounds in Pediatrics: A Pilot Study

Enhanced Tracheostomy Wound Healing Using Maltodextrin and Silver Alginate Compounds in Pediatrics: A Pilot Study

Traqueostomia na criança

Tracheostomy care and management

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