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Related Concept Videos

Tracheostomy Decannulation01:21

Tracheostomy Decannulation

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Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
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Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

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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...
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Oxygen Delivering System III: Tracheostomy and T-piece01:23

Oxygen Delivering System III: Tracheostomy and T-piece

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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...
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Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

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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
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Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen01:16

Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen

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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
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Tracheostomy Care II: Procedure01:25

Tracheostomy Care II: Procedure

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Tracheostomy care is an essential nursing skill that involves cleaning and maintaining a tracheostomy tube to prevent infection and other complications. Here's a step-by-step guide explaining each procedure with its rationale. Note that disposable gloves are to be worn at all times and changed as often as needed to maintain a sterile work environment, and to protect both patient and healthcare worker.
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask...
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Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications
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Tracheostomy in pediatric burn patients.

Soman Sen1, Jonathan Heather2, Tina Palmieri1

  • 1Department of Surgery, Division of Burn Surgery, Shriners Hospital for Children Northern California, University of California Davis, Sacramento, CA, United States.

Burns : Journal of the International Society for Burn Injuries
|December 3, 2014
PubMed
Summary

In pediatric burn patients, the duration of tracheostomy is determined by the extent of the burn, not the patient's age. This finding impacts airway management strategies for young burn survivors.

Keywords:
Pediatric burn injuryTracheostomyTracheostomy duration

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Area of Science:

  • Pediatric critical care
  • Burn management
  • Airway surgery

Background:

  • Tracheostomy is a common procedure for securing airways in pediatric burn patients.
  • While generally safe, tracheostomy duration in this population may be influenced by patient age and burn severity.
  • This study investigated whether burn-related factors or age primarily dictate tracheostomy removal time.

Purpose of the Study:

  • To determine the factors influencing tracheostomy duration in pediatric burn patients.
  • To test the hypothesis that burn extent, rather than age, is the primary determinant for tracheostomy removal.

Main Methods:

  • A 5-year retrospective review of pediatric burn patients (≤18 years) who underwent tracheostomy.
  • Patients were stratified into three age groups (0-2, >2-12, >12-18 years).
  • Data analyzed included total body surface area burn (TBSA), ventilation days, and tracheostomy duration.

Main Results:

  • No significant differences in TBSA, length of stay, or mortality were observed across age groups.
  • Ventilator days and tracheostomy duration did not differ significantly between age groups.
  • Multivariate analysis revealed that TBSA, not age, independently predicted longer tracheostomy duration.

Conclusions:

  • Tracheostomy duration in pediatric burn patients is significantly influenced by the extent of the burn (TBSA).
  • Age is not an independent predictor of how long a tracheostomy is needed in this cohort.
  • Burn severity is a key factor to consider when managing tracheostomy in pediatric burn care.