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Tracheostomy--a 10-year experience from a UK pediatric surgical center
Harriet J Corbett1, Kulbir S Mann, Indu Mitra
1Division of Child Health, The Royal Liverpool Children's Hospital, University of Liverpool, Eaton Road, Liverpool, L12 2AP, UK. hjcorbett@doctors.org.uk
Journal of Pediatric Surgery
|July 10, 2007
Summary
Pediatric tracheostomy, while carrying risks, is often elective in the UK. Infants under one year represent a growing patient group, emphasizing the need for careful surgical technique and comprehensive care to minimize complications.
Area of Science:
- Pediatric surgery
- Otolaryngology
- Critical care medicine
Background:
- Pediatric tracheostomy is linked to higher morbidity and mortality than in adults.
- This study reviews UK children's hospital experience with pediatric tracheostomy.
Purpose of the Study:
- To analyze indications, complications, and outcomes of pediatric tracheostomy.
- To highlight evolving practices in a UK children's hospital.
Main Methods:
- Retrospective review of 112 children undergoing tracheostomy from 1995-2004.
- Evaluation of indications, surgical procedures, complications, and patient outcomes.
Main Results:
- Congenital defects were primary indications, followed by acquired airway issues and need for ventilation.
- Most procedures (94%) were elective; 50% of patients were infants under one year.
- Common morbidities included wound problems and tube issues (14.4% each); two deaths occurred due to tube displacement/obstruction.
Conclusions:
- Pediatric tracheostomy at this UK center is predominantly elective, with a rising number of infant patients.
- Meticulous surgical technique and robust tracheostomy care programs are crucial for minimizing complications.
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A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
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Required Equipment
The equipment necessary for tracheostomy care includes:
Required Equipment
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Tracheostomy care is an essential nursing skill that involves cleaning and maintaining a tracheostomy tube to prevent infection and other complications. Here's a step-by-step guide explaining each procedure with its rationale. Note that disposable gloves are to be worn at all times and changed as often as needed to maintain a sterile work environment, and to protect both patient and healthcare worker.
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Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
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Tracheostomy suctioning is a vital nursing procedure that involves removing secretions from the tracheostomy tube to maintain airway patency and prevent respiratory complications. Nurses need to understand the proper technique for tracheostomy suctioning to ensure patient safety and comfort. In this guide, we will outline the step-by-step process for performing tracheostomy suctioning, including preparing the sterile field, donning personal protective equipment (PPE), lubricating and connecting...