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Pediatric tracheostomy: timing of the first tube change

Nicholas C Van Buren1, Evan R Narasimhan1, Jonathan L Curtis1

  • 1Division of Otolaryngology-Head and Neck Surgery, University of Utah School of Medicine, Salt Lake City, UT, USA.

The Annals of Otology, Rhinology, and Laryngology
|November 30, 2014
PubMed

Insights

Early tracheostomy tube changes are safe in pediatric patients. Performing the first tracheostomy tube change on postoperative day 3 (POD 3) can reduce hospital stays and save resources.

Area of Science:

  • Pediatric Surgery
  • Otolaryngology
  • Critical Care Medicine

Background:

  • The optimal timing for the initial tracheostomy tube change in pediatric patients remains undefined.
  • Tracheostomy is a common procedure in pediatric care for airway management.

Purpose of the Study:

  • To assess the safety and feasibility of early tracheostomy tube replacement in children.
  • To establish evidence for a standardized early tube change protocol.

Main Methods:

  • Retrospective case series analysis of pediatric patients who underwent tracheostomy.
  • Data collected from a tertiary children's hospital between 2008 and 2013.
  • Review of initial tracheostomy tube change timing and associated complications.

Main Results:

  • 151 pediatric patients undergoing tracheostomy were identified.
  • The first tracheostomy tube change occurred on postoperative day 3 (POD 3) in 65 patients (43.0%).
  • Early tube change on POD 3 was performed without any reported complications.

Conclusions:

  • Early tracheostomy tube replacement on POD 3 is a safe procedure in a significant number of pediatric patients.
  • Implementing routine early tube changes could potentially decrease intensive care unit (ICU) and overall hospital length of stay.
  • This practice may lead to significant resource savings in pediatric healthcare settings.
Abstract

Keywords:
bronchoscopygranulomapediatrictracheostomy

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