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Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications
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Outcome in pediatric tracheotomy

Weerachai Tantinikorn1, Cuneyt M Alper, Charles D Bluestone

  • 1Department of Otolaryngology, Siriraj Hospital, Mahidol University, Bangkok, Thailand.

American Journal of Otolaryngology
|May 23, 2003
PubMed

Insights

Pediatric tracheotomy is relatively safe, with airway obstruction being the primary indication. Decannulation is achievable for many children once their underlying condition resolves.

Area of Science:

  • Pediatric surgery
  • Otolaryngology
  • Critical care medicine

Background:

  • Tracheotomy is a critical intervention for pediatric airway management.
  • Understanding outcomes and complications is essential for optimizing patient care.

Purpose of the Study:

  • To evaluate the outcomes and associated factors of tracheotomy in children.
  • To identify complications, mortality rates, and decannulation success.

Main Methods:

  • Retrospective chart review of 181 children undergoing 185 tracheotomies.
  • Data collected from 1991-1995 at a tertiary pediatric academic hospital.
  • Analysis included indications, complications, procedures, mortality, and decannulation rates.

Main Results:

  • Airway obstruction (59.6%) was the leading indication for pediatric tracheotomy.
  • Early and late complications occurred in 15.5% and 63.5% of patients, respectively.
  • Decannulation was successful in 64.1% of cases, with a tracheotomy-related mortality of 1.3%.

Conclusions:

  • Pediatric tracheotomy demonstrates a relatively safe profile.
  • Successful decannulation is feasible with timely resolution of the underlying pediatric airway issues.
Abstract

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