Related Experiment Video

Updated: Jun 23, 2026

Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications
04:43

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

Published on: March 15, 2024

Pediatric tracheotomies: a 37-year experience in 282 children

Suay Ozmen1, Omer Afsin Ozmen, Omer Faruk Unal

  • 1Bursa Dörtçelik Childrens Hospital, Bursa, Turkey. suayozmen@yahoo.com

International Journal of Pediatric Otorhinolaryngology
|April 28, 2009
PubMed

Insights

Pediatric tracheotomies for upper airway obstruction, often due to infections, showed low mortality and morbidity. Successful decannulation was achieved in 35% of cases in this study.

Area of Science:

  • Otolaryngology
  • Pediatric Surgery
  • Respiratory Medicine

Background:

  • Tracheotomy is a critical airway management procedure in pediatrics.
  • Understanding outcomes and indications is vital for optimizing patient care.

Purpose of the Study:

  • To analyze the outcomes, complications, and indications of pediatric tracheotomies.
  • To evaluate the success rate of decannulation and mortality associated with the procedure.

Main Methods:

  • Retrospective review of hospital records for pediatric patients (under 16 years) who underwent tracheotomy.
  • Data collected from 1968 to 2005 at a tertiary referral center.

Main Results:

  • 282 tracheotomies were performed; 72% for upper airway obstruction (infections, anomalies, trauma, tumors) and 28% for prolonged ventilation.
  • Successful decannulation occurred in 35% of patients.
  • Overall complication rate was 18%, with a 1% tracheotomy-related mortality and 19% overall mortality.

Conclusions:

  • Pediatric tracheotomies demonstrate a low incidence of procedure-related mortality and morbidity.
  • Upper airway obstruction, particularly from infectious diseases, is the primary indication.
  • Successful decannulation in 35% of cases highlights the procedure's role in airway management.
Abstract

More Related Videos

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation04:46

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation

Published on: January 17, 2011

Guidelines for Elective Pediatric Fiberoptic Intubation11:19

Guidelines for Elective Pediatric Fiberoptic Intubation

Published on: January 17, 2011

Related Concept Videos

Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

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.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
Trachea01:22

Trachea

The trachea, commonly known as the windpipe, is a vital part of the human respiratory system. It serves as a passageway for air to travel between the larynx and the bronchi, allowing oxygen to reach the lungs. Let's explore its anatomical features, dimensions, layers of the tracheal wall, associated muscles, and the functions of its parts.
Anatomical Features:
Location: About half of the trachea is situated in the neck, anterior to the esophagus, and extends from the larynx (at the level of the...
Oxygen Delivering System III: Tracheostomy and T-piece01:23

Oxygen Delivering System III: Tracheostomy and T-piece

Oxygen delivery is critical in clinical care, especially for patients with respiratory disorders or those undergoing surgical procedures. Various systems, such as tracheostomy and the T-piece, deliver oxygen to the lungs, ensuring adequate arterial oxygenation.
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
The equipment necessary for tracheostomy care includes:
Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen01:16

Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen

Oxygen therapy is a pivotal aspect of medical care, particularly for patients with respiratory ailments. Two prominent oxygen-delivering systems include the Venturi mask and the transtracheal oxygen catheter.
Venturi Mask
The Venturi mask, named after the Venturi effect, is designed to deliver precise oxygen concentrations. It consists of a large tube with an oxygen inlet that narrows down, causing a pressure drop that pulls air in through adjustable side ports. The mask is a lightweight,...
Tracheostomy Suctioning II: Procedure01:23

Tracheostomy Suctioning II: Procedure

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...