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Published on: January 17, 2011

Indications and complications of tracheostomy in children

Caroline Harumi Itamoto1, Bruno Thieme Lima, Juliana Sato

  • 1Department of Otolaryngology and Head and Neck Surgery.

Brazilian Journal of Otorhinolaryngology
|July 27, 2010
PubMed

Insights

Tracheostomy in children is primarily indicated for airway obstruction. Postoperative complications like cannula obstruction and decannulation are common, necessitating careful management.

Area of Science:

  • Pediatric Surgery
  • Otolaryngology
  • Respiratory Medicine

Background:

  • Tracheostomy indications in pediatric patients have evolved.
  • Complications associated with tracheostomy in children are increasingly recognized.

Purpose of the Study:

  • To evaluate the primary indications for tracheostomy in children.
  • To assess the intraoperative and postoperative complications of pediatric tracheostomies.

Main Methods:

  • Retrospective study of 58 pediatric patients (1 day to 16 years).
  • Review of medical records from August 2000 to July 2008.
  • Data collected on age, gender, indications, and complications.

Main Results:

  • Airway obstruction was the leading indication (69%).
  • Postoperative complications occurred in 19% of patients, mainly in the late period.
  • Cannula obstruction and decannulation were the most frequent complications.

Conclusions:

  • Key indications for pediatric tracheostomy include airway obstruction and prolonged intubation.
  • Frequent postoperative complications are cannula obstruction and decannulation.
  • Findings align with existing literature on pediatric tracheostomy.
Abstract

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