Tracheostomy in children: Recommendations for a safer technique

Pacheco, Alvaro E.; Leopold, Eduardo

doi:10.1016/j.sempedsurg.2021.151054

Cited by 8 publications

(3 citation statements)

References 31 publications

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“…Although a penetrating tracheal injury is rare, it can be life threatening. However, laryngeal-tracheal injuries have a combined incidence among patients with penetrating neck trauma [20]. Our finding is consistent with a previous study by Atmaca and colleagues (2011) at a specialized tertiary care center with 54 children, retrospectively.…”

Section: Discussionsupporting

confidence: 93%

Indications of Tracheostomy in Patients Attending Baquba Teaching Hospital in Diyala, Iraq: A cross Sectional Study

Ahmed Amer Hadi AL-majmaie,

Ali Lafta Salman,

Duraid H Abid Alkadem

et al. 2023

Texa. Jour. of Medi. Scie.

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Tracheostomy is a description of the surgical opening of the trachea, and represents the most frequently carried out surgical procedures in medical practice, especially in patients who require long-term mechanical ventilation for airway disorders. This study aimed to evaluate the main indications for tracheostomy. Approximately 100 patients underwent tracheostomy in different age groups, from 12 to 80 years, and both genders, who attended Baquba Teaching Hospital, (Iraq) in the period from August 2021 to December 2022, were included in this cross-sectional study. The results showed that the indications for tracheostomy were due to prolonged ventilation (70%) resulting from trauma in most cases (71.5%), followed by upper airway obstruction (25%) due to tumors (40%) or trauma (60%). As for the rest (5%), it was from other procedures such as maxillofacial injuries. It was concluded that prolonged ventilation due to trauma was the most common indication for tracheostomy in Baquba Teaching Hospital

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Section: Discussionsupporting

confidence: 93%

Indications of Tracheostomy in Patients Attending Baquba Teaching Hospital in Diyala, Iraq: A cross Sectional Study

Ahmed Amer Hadi AL-majmaie,

Ali Lafta Salman,

Duraid H Abid Alkadem

et al. 2023

Texa. Jour. of Medi. Scie.

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“…It also had its attendant risks and complications, including pneumothorax, tracheal granulomas, and tracheoesophageal fistula. 6 Videostroboscopy showed a point of entry for intubation as the mass moved in a ballvalve manner, with the glottic opening more exposed during expiration. Tracheal intubation under general anesthesia was not considered the initial approach, given the high risk of difficult ventilation because of the ball valve obstruction.…”

Section: Discussionmentioning

confidence: 99%

Combined Use of C-MAC Video Laryngoscope and Bonfils Intubating Fiberscope in a Pediatric Patient with a Huge Laryngeal Mass: A Case Report

2022

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An anticipated difficult airway requires careful planning and teamwork among the anesthesiologists and the surgical team. This paper reports the airway management of a 7-year-old female scheduled for LASER excision of a huge, obstructing laryngeal neoplasm. Initial attempts to secure the airway with the patient minimally sedated using a C-MAC Video Laryngoscope (C-MAC) and a traditional intubating stylet failed. Successful tracheal intubation was achieved when C-MAC was combined with a pediatric Bonfils Intubating Fiberscope (BIF) with the patient under general anesthesia.

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“…Over recent decades, there have been increasing numbers of children with complex respiratory conditions requiring tracheostomy as part of the management. [1][2][3] Unfortunately, 8% to 65% of patients with long-term presence of a tracheostomy tube experience at least 1 adverse event including tube obstruction, hemorrhage, airway granulation, and accidental decannulation. [4][5][6][7] The common adverse events in children were similar to adults with roughly double the incidence of tube obstruction.…”

Section: Introductionmentioning

confidence: 99%

Pediatric Home Tracheostomy Care: The Importance of Knowledge Assessment

Boonjindasup

Syananondh

Somboon

et al. 2021

Home Health Care Management & Practice

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Assessment of caregiver knowledge is an essential part of home healthcare education for pediatric tracheostomy care, however, there is a paucity of evidence in long term. This study aims to determine how caregiver knowledge and misconceptions, as assessed by our knowledge test, changed over a 12-month period following our educational program and whether the test score was associated with any demographics of the caregivers and children with tracheostomy. A prospective cohort study was undertaken to evaluate the knowledge at 3 timepoints after tracheostomy education: baseline (T1), 6 months (T2), and 12 months (T3). Test scores were analyzed for trend and relationship with demographics. Items for which less than 80% caregivers gave correct responses at T1 were considered common misconceptions. Fifty-four caregivers were enrolled. Out of a maximum score of 25, the median (IQR) scores were 22 (21-23), 23 (22-24), and 23 (22-25), at T1, T2, and T3, respectively. The scores at T2 and T3 were significantly higher than at T1 ( P ≤ .01). One common misconception “how to manage when suction got less secretion than expected” was found at all timepoints. Caregivers of children with >2 comorbidities scored slightly higher than those of children with 0 to 2 comorbidities ( P = .01). In conclusion, our caregivers achieved high knowledge scores which increased over the 12-month study period potentially because of repeated assessment and practical experience. Common misconceptions and a factor associated with the knowledge were also identified. These advantages highlighted the importance of knowledge assessment for quality improvement.

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Tracheostomy in children: Recommendations for a safer technique

Cited by 8 publications

References 31 publications

Indications of Tracheostomy in Patients Attending Baquba Teaching Hospital in Diyala, Iraq: A cross Sectional Study

Indications of Tracheostomy in Patients Attending Baquba Teaching Hospital in Diyala, Iraq: A cross Sectional Study

Combined Use of C-MAC Video Laryngoscope and Bonfils Intubating Fiberscope in a Pediatric Patient with a Huge Laryngeal Mass: A Case Report

Pediatric Home Tracheostomy Care: The Importance of Knowledge Assessment

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