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Paediatric tracheostomy: an analysis of 40 cases
1Department of Otolaryngology, Port Moresby General Hospital, Papua New Guinea.
The Journal of Laryngology and Otology
|December 22, 1999
Summary
Paediatric tracheostomy for upper airway obstruction is common, with most procedures being planned. While complications occur, tracheostomies for general anesthesia access show a better prognosis in children.
Area of Science:
- Pediatric Surgery
- Otolaryngology
- Critical Care Medicine
Background:
- Tracheostomy in children carries higher risks than in adults.
- Upper airway obstruction is a primary indication for pediatric tracheostomy.
Purpose of the Study:
- To analyze the indications, procedures, complications, and outcomes of tracheostomies in pediatric patients.
- To compare outcomes based on the reason for tracheostomy.
Main Methods:
- Retrospective analysis of 40 pediatric patients (≤12 years) undergoing tracheostomy.
- Data collected on indications, anesthetic methods, procedure types, durations, and complications.
Main Results:
- Upper airway obstruction was the most common indication (80%).
- Most tracheostomies were planned (85%) under general anesthesia with endotracheal intubation (77.5%).
- Complications occurred in 22.5% early and 35% late post-operatively; mortality was 2.5% related to tracheostomy and 25% to primary disease.
Conclusions:
- Pediatric tracheostomy, particularly for upper airway obstruction, requires careful management due to potential morbidity.
- Tracheostomies performed for general anesthesia access demonstrated a better prognosis.