Utility of routine postoperative chest radiography in pediatric tracheostomy

Genther, Dane J.; Thorne, Marc C.

doi:10.1016/j.ijporl.2010.09.017

Cited by 16 publications

(10 citation statements)

References 27 publications

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“…Following emergency re‐intubation of the upper airway or stoma, waveform capnography should be used to confirm tracheal placement. Clinical examination may identify accidental endobronchial placement, but is insensitive and airway endoscopy or chest X‐ray may be required . Pharyngeal or oesophageal injury may have occurred .…”

Section: Resultsmentioning

confidence: 99%

Multidisciplinary guidelines for the management of paediatric tracheostomy emergencies

et al. 2018

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Summary Temporary and permanent tracheostomies are required in children to manage actual or anticipated long‐term ventilatory support, to aid secretion management or to manage fixed upper airway obstruction. Tracheostomies may be required from the first few moments of life, with the majority performed in children < 4 years of age. Although similarities with adult tracheostomies are apparent, there are key differences when managing the routine and emergency care of children with tracheostomies. The National Tracheostomy Safety Project identified the need for structured guidelines to aid multidisciplinary clinical decision making during paediatric tracheostomy emergencies. These guidelines describe the development of a bespoke emergency management algorithm and supporting resources. Our aim is to reduce the frequency, nature and severity of paediatric tracheostomy emergencies through preparation and education of staff, parents, carers and patients.

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Section: Resultsmentioning

confidence: 99%

Multidisciplinary guidelines for the management of paediatric tracheostomy emergencies

et al. 2018

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“…For this reason, a post-operative chest x-ray may be performed to identify these complications and serve as a baseline. However, a review [ 55 ] of 421 patients who underwent routine chest x-ray after tracheostomy identified only 3 cases of air tracking complications, all of whom were clinically suspected before the x-ray.…”

Section: Complications and Aftercarementioning

confidence: 99%

Update on Pediatric Tracheostomy: Indications, Technique, Education, and Decannulation

Fuller

Wineland

Richter

2021

Curr Otorhinolaryngol Rep

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Purpose of Review Tracheostomy in a child demands critical pre-operative evaluation, deliberate family education, competent surgical technique, and multidisciplinary post-operative care. The goals of pediatric tracheostomy are to establish a safe airway, optimize ventilation, and expedite discharge. Herein we provide an update regarding timing, surgical technique, complications, and decannulation, focusing on a longitudinal approach to pediatric tracheostomy care. Recent Findings Pediatric tracheostomy is performed in approximately 0.2% of inpatient stays among tertiary pediatric hospitals. Mortality in children with tracheostomies ranges from 10–20% due to significant comorbidities in this population. Tracheostomy-specific mortality and complications are now rare. Recent global initiatives have aimed to optimize decision-making, lower surgical costs, reduce the length of intensive care, and eliminate perioperative wound complications. The safest road to tracheostomy decannulation in children remains to be both patient and provider dependent. Summary Recent literature provides guidance on safe, uncomplicated, and long-term tracheostomy care in children. Further research is needed to help standardize decannulation protocols.

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“…studies that directly evaluated the role of routine post‐tracheostomy chest X‐ray). Paediatric and non‐English articles were excluded. Fourteen relevant articles were included in the review, of which seven were studies on surgical tracheostomy, and eight on percutaneous tracheostomy (one study had cases of both approaches).…”

Section: Methodsmentioning

confidence: 99%

Is routine chestX‐ray after surgical and percutaneous tracheostomy necessary in adults: a systemic review of the current literature

Yeo

Phua

2014

Clinical Otolaryngology

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The practice of routine post-tracheostomy chest X-ray is debatable owing to its low yield and minimal impact on clinical management. However, certain groups of patients appear to be at higher risks of post-tracheostomy complications; currently, there is insufficient evidence to conclude the absolute need for routine chest X-ray in these groups of patients, although it may be prudent to do so based on available evidence in the literature and logical clinical reasoning.

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Utility of routine postoperative chest radiography in pediatric tracheostomy

Cited by 16 publications

References 27 publications

Multidisciplinary guidelines for the management of paediatric tracheostomy emergencies

Multidisciplinary guidelines for the management of paediatric tracheostomy emergencies

Update on Pediatric Tracheostomy: Indications, Technique, Education, and Decannulation

Is routine chestX‐ray after surgical and percutaneous tracheostomy necessary in adults: a systemic review of the current literature

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