Related Experiment Video

Updated: Apr 16, 2026

Endotracheal Intubation in Mice via Direct Laryngoscopy Using an Otoscope
06:58

Endotracheal Intubation in Mice via Direct Laryngoscopy Using an Otoscope

Published on: April 5, 2014

33.5K

Surveillance direct laryngoscopy and bronchoscopy in children with tracheostomies

Amy Richter1, Diane Wenhua Chen2, Julina Ongkasuwan1

  • 1Bobby R. Alford Department of Otolaryngology-Head and Neck Surgery.

The Laryngoscope
|March 18, 2015
PubMed

Insights

Annual surveillance direct laryngoscopy and bronchoscopy (DLB) is crucial for children with chronic tracheostomies, as most procedures require intervention for airway optimization. These findings support routine DLB for pediatric tracheostomy care.

Area of Science:

  • Pediatric Otolaryngology
  • Respiratory Medicine
  • Pediatric Surgery

Background:

  • Chronic tracheostomies are common in pediatric patients, necessitating ongoing airway management.
  • Surveillance direct laryngoscopy and bronchoscopy (DLB) is a common practice for monitoring these patients.

Purpose of the Study:

  • To evaluate the utility of annual surveillance DLB in children with chronic tracheostomies.
  • To determine the frequency of operative interventions during these surveillance procedures.

Main Methods:

  • Retrospective chart review of pediatric patients with tracheostomies who underwent surveillance DLB between 2003 and 2012.
  • Analysis of demographics, tracheotomy indications, pre-DLB symptoms, and operative findings/interventions.

Main Results:

  • 1,094 DLBs were performed on 489 patients; 58% required 817 interventions.
  • Common interventions included granulation tissue debridement (41%), tube exchange (27%), and subglottic dilation (10%).
  • Pre-procedural symptoms or tracheotomy indication did not predict the need for intervention.

Conclusions:

  • The majority of surveillance DLBs in pediatric tracheostomy patients necessitate operative intervention for airway optimization.
  • These findings support the current practice of annual surveillance DLB for asymptomatic pediatric tracheostomy patients.
  • Data can inform clinical practice guidelines for chronic tracheostomy care in children.
Abstract

Keywords:
Pediatric tracheostomydirect laryngoscopy and bronchoscopysuprastomal granulationsurveillance

More Related Videos

Author Spotlight: Advancing Awake Nasotracheal Intubation with Flexible Video Rhino-Laryngoscopes03:58

Author Spotlight: Advancing Awake Nasotracheal Intubation with Flexible Video Rhino-Laryngoscopes

Published on: August 2, 2024

2.7K
Image Acquisition using Portable Sonography for Emergency Airway Management07:31

Image Acquisition using Portable Sonography for Emergency Airway Management

Published on: September 28, 2022

3.2K

Related Concept Videos

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
877
Endoscopic Studies I: Bronchoscopy and Thoracoscopy01:30

Endoscopic Studies I: Bronchoscopy and Thoracoscopy

Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
993
Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

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...
5.6K
Oxygen Delivering System III: Tracheostomy and T-piece01:23

Oxygen Delivering System III: Tracheostomy and T-piece

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...
8.9K
Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen01:16

Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen

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
The Venturi mask, named after the Venturi effect, is designed to deliver precise oxygen concentrations. It consists of a large tube with an oxygen inlet that narrows down, causing a pressure drop that pulls air in through adjustable side ports. The mask is a lightweight,...
3.5K
Trachea01:22

Trachea

The trachea, commonly known as the windpipe, is a vital part of the human respiratory system. It serves as a passageway for air to travel between the larynx and the bronchi, allowing oxygen to reach the lungs. Let's explore its anatomical features, dimensions, layers of the tracheal wall, associated muscles, and the functions of its parts.
Anatomical Features:
Location: About half of the trachea is situated in the neck, anterior to the esophagus, and extends from the larynx (at the level of...
6.4K