Related Experiment Video
Updated: May 16, 2026

Preoxygenation Techniques for Tracheal Intubation in Critically Ill Adults Utilizing Oxygen Mask and Noninvasive Ventilation
Published on: December 5, 2025
Outcomes of children treated with tracheostomy and positive-pressure ventilation at home
Gulnur Com1, Dennis Z Kuo, Martin L Bauer
1University of Alabama-Birmingham, Birmingham, AL, USA. comgulnur@uams.edu
Background:
Long-term outcomes for children who survive on tracheostomy and positive-pressure ventilation (TPPV) at home are not well known.
Methods:
A retrospective review of 20 years of clinical data at a single institution was performed. Outcome measures included 5-year survival, decannulation rate, and neurocognition.
Results:
A total of 91 children were categorized under neuromotor dysfunction (52%), chronic lung disease (29%), and congenital anomalies (20%). The 5-year survival rates for these categories were 89% (95% confidence interval [CI] = 80%-99%), 76% (95% CI = 57%-100%), and 94% (95% CI = 83%-100%), respectively. Overall, the 5-year decannulation rate was 25% (95% CI = 14%-35%), with children with chronic lung disease having the highest rate (51%). It was found that 14% were extremely delayed in neurocognition.
Conclusion:
Most children on TPPV at home survive beyond 5 years, and a significant number are decannulated. Primary care physicians and communities should be prepared to accommodate the increasing number of children on TPPV at home.
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