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Changing indications for paediatric tracheostomy and the role of a multidisciplinary tracheostomy clinic

M M C Yaneza1, H L James2, H P James

  • 1Department of Otolaryngology,The Royal Hospital for Sick Children (Yorkhill),Glasgow,UK.

The Journal of Laryngology and Otology
|August 29, 2015
PubMed

Insights

This study reviews children with tracheostomy managed in a multidisciplinary clinic. Key indications include respiratory issues, airway obstruction, and neurodevelopmental problems, highlighting a shift in pediatric tracheostomy causes.

Area of Science:

  • Pediatric pulmonology
  • Otolaryngology
  • Speech and language therapy

Background:

  • Children requiring tracheostomy present complex care needs.
  • A multidisciplinary approach is crucial for effective management.

Purpose of the Study:

  • To describe the experience of managing children with tracheostomy in a multidisciplinary team clinic.
  • To identify the primary indications for tracheostomy in pediatric patients.

Main Methods:

  • Retrospective case note review.
  • Analysis of data from children attending a tertiary pediatric hospital's tracheostomy clinic between February 2009 and September 2014.

Main Results:

  • Ninety-seven patients were reviewed.
  • Common indications included lower airway/respiratory problems (66%), upper airway obstruction (64%), and neurodevelopmental issues (60.8%).

Conclusions:

  • Pediatric tracheostomy indications have evolved, shifting from infections to airway anomalies and respiratory/neuromuscular conditions.
  • A unified, multidisciplinary approach empowers patients and caregivers through collaborative care planning.
Abstract

Keywords:
Clinical Nurse SpecialistOtolaryngologyPediatricsPulmonary MedicineSpeech And Language Disorder RehabilitationTracheostomy

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