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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
PubMed

Insights

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.
Abstract

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