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Percutaneous versus open tracheostomy in the pediatric trauma population
Ashish Raju1, D'Andrea K Joseph, Cheickna Diarra
1Department of Surgery, Division of Trauma, Cooper University Hospital and UMDNJ-Robert Wood Johnson Medical School, Camden, New Jersey, USA.
The American Surgeon
|March 31, 2010
Summary
Percutaneous tracheostomy is a safe and effective alternative to open tracheostomy in pediatric trauma patients. This study found no significant difference in complication rates between the two procedures.
Area of Science:
- Pediatric Trauma Surgery
- Surgical Procedures
- Airway Management
Background:
- Tracheostomy is a critical intervention for airway management in pediatric trauma.
- Both open and percutaneous tracheostomy techniques are utilized, with varying safety and efficacy profiles.
Purpose of the Study:
- To compare the safety and efficacy of percutaneous versus open tracheostomy in pediatric trauma patients.
- To evaluate complication rates and patient characteristics associated with each procedure.
Main Methods:
- Retrospective chart review of pediatric trauma patients (<18 years) who underwent tracheostomy over an 8-year period.
- Comparison of injury types, severity, time to procedure, and complication rates between open and percutaneous tracheostomy groups.
Main Results:
- No significant difference in brain, chest, or facial injury incidence between groups.
- Open tracheostomy group had younger patients and higher injury severity scores.
- Mean time from injury to tracheostomy was similar for both methods.
- Complication rates were not significantly different (1/29 percutaneous vs. 3/20 open).
Conclusions:
- Percutaneous tracheostomy is a safe and effective method for airway management in injured pediatric patients.
- The choice of technique may depend on patient factors and procedural setting (OR vs. bedside).
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