Tracheostomy among pediatric patients: A review

Swain, Santosh Kumar; Das, Alok Kumar; Behera, Ishwar Chandra; Bhattacharyya, Biplob

doi:10.32677/ijch.2018.v05.i09.003

Cited by 6 publications

(5 citation statements)

References 25 publications

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“…Teaching patients, spouses, and relatives to change the tracheostomy tube becomes easier after a meeting/conference with doctors and the patient and his or her relatives. The parent or caregiver is sufficiently trained to master inner tube changing before discharge from the hospital [15].…”

Section: Discussionmentioning

confidence: 99%

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

Swain¹,

Acharya²

2020

polp

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Introduction: Paediatric patients may require tracheostomy in certain clinical conditions with upper airway obstruction or in critical conditions requiring prolonged ventilation. It is often associated with higher rates of morbidity along with social stigma if it is sustained for a longer period. Although there are several studies available in medical literature for indications, complications, and different techniques for tracheostomy, but most of them do not provide any insight into the social impact of tracheostomy. The aim of this study is to assess the social impact of tracheostomy at a tertiary care teaching hospital. Material and methods: This is a retrospective observational study done at a tertiary care teaching hospital. The study was carried out from December 2017 to January 2020. Twenty-four paediatric tracheostomy patients participated in this study. The observed complications in tracheostomy such as surgical/medical and social issues were documented. We conducted structured interviews with caregivers of patients with tracheostomy. Results: Medical or surgical complications included excess mucus production (70.83%), infections at the stoma site (33.33%), blockage (25%), granulations around the stoma (16.66%), and maggots at the stoma (4.16%). The social impacts on tracheostomy patients included family reluctance to accept the patient with a tracheostomy tube, inability to communicate, and problems with social integration. Conclusions: Tracheostomy has several ranges of effects on the quality of life of caregivers and patients with tracheostomy. Management of social stigma associated with permanent tracheostomy is more challenging than any complications due to the tracheostomy procedure itself. It can be solved with proper counselling with family members and those involved with patients.

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Section: Discussionmentioning

confidence: 99%

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

Swain¹,

Acharya²

2020

polp

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“…23 Tachypnea, stridor, and hoarseness of voice suggest a compromised airway due to edema or inhalation injury. 24 A young child's growing visual axis is disrupted by periorbital burns, making them susceptible to developing occlusion amblyopia or vision loss. Infants who have their eyes closed for more than three days have a higher chance of going blind in the affected eye.…”

Section: Clinical Manifestationsmentioning

confidence: 99%

Facial burn in children: a review

Swain

2023

Int J Contemp Pediatr

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Burns are a common cause of injury among children. Children with facial burns often experience pain, regardless of the cause, size, or depth of the burn injury. Burns in the facial area may lead to fatal consequences because of the involvement of the upper airway and cosmetic deformity of the face. Major burn injury in the facial area remains a significant cause of morbidity and mortality in children. Burn scars on the face in children may disturb the self-image and psychosocial processes. Multi-disciplinary approaches and advances in burn care are often helpful to manage the burn injury in children and increase the survival of the patients. Pain has adverse emotional and physiological impacts, and adequate pain control is an important factor in improving outcomes. The goal of the treatment of facial burns in children is to achieve a good aesthetic outcome and also normal head movement with neck mobilization.

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“…35 Airway examination should be done to rule out some lesions which prevent decannulation such as vocal fold paralysis, stomal granulation, supra-stomal collapse, distal tracheal granulation, and tracheomalacia. 36 In the case of long-standing tracheostomy, the stoma may become epithelized. In these cases, there is a higher chance of developing trachea-cutaneous fistula after the decannulation.…”

Section: Decannulation Protocolmentioning

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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Tracheostomy among pediatric patients: A review

Cited by 6 publications

References 25 publications

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

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

Facial burn in children: a review

Pediatric tracheostomy: a review

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