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Surgical aspects of tracheostomy in children

Lesley-Ann Cochrane1, C Martin Bailey

  • 1Department of Paediatric Otolaryngology, Great Ormond Street Hospital for Children, Great Ormond Street, London WC1N 3JH, UK. cochrl@gosh.nhs.uk

Paediatric Respiratory Reviews
|August 30, 2006
PubMed

Insights

Tracheostomy, a surgical airway, offers more than just obstruction relief. This review covers surgical techniques, tube selection, and postoperative care for children, emphasizing its diverse clinical uses.

Area of Science:

  • Surgical Procedures
  • Pediatric Otolaryngology
  • Respiratory Medicine

Background:

  • Tracheostomy is a surgical procedure creating a tracheal stoma.
  • Traditionally used for airway obstruction, its applications are broader.
  • Includes ventilatory support, pulmonary toilet, and airway surgery coverage.

Purpose of the Study:

  • To review the surgical aspects of tracheostomy.
  • To discuss preoperative, operative, and postoperative considerations.
  • To outline postoperative care for pediatric patients.

Main Methods:

  • Review of surgical literature and clinical practices.
  • Discussion of preoperative assessment and planning.
  • Analysis of operative techniques and tracheostomy tube selection.

Main Results:

  • Tracheostomy has diverse indications beyond simple obstruction.
  • Key surgical aspects include preoperative evaluation, technique, and tube choice.
  • Postoperative management and complication avoidance are critical.

Conclusions:

  • Tracheostomy is a versatile surgical intervention with varied applications.
  • Comprehensive understanding of surgical and postoperative care is essential.
  • This review provides a guide for managing pediatric tracheostomies.

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