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Paediatric tracheostomy tubes: recent developments and our current practice

D J Tweedie1, J Cooke2, K A Stephenson2

  • 1Department of Paediatric Otolaryngology,Evelina London Children's Hospital,Guy's and St Thomas' NHS Foundation Trust,London,UK.

The Journal of Laryngology and Otology
|November 6, 2018
PubMed

Insights

This review examines paediatric tracheostomy tubes used at two major children's hospitals. While a select range is preferred, specific patient needs dictate the choice of airway management devices.

Area of Science:

  • Pediatric Otolaryngology
  • Respiratory Medicine
  • Biomedical Engineering

Background:

  • A wide array of paediatric tracheostomy tubes exist.
  • Current clinical practice at Great Ormond Street Hospital for Children and Evelina London Children's Hospital is reviewed.

Purpose of the Study:

  • To review available paediatric tracheostomy tubes.
  • To outline current preferences and indications for specific tubes, speaking valves, and attachments.

Main Methods:

  • Review of tracheostomy tubes in current use.
  • Analysis of indications for different tube types and accessories.

Main Results:

  • Significant design evolution in preferred tracheostomy tubes.
  • Reported experience with specialized tubes for particular circumstances.
  • Inclusion of an updated paediatric tracheostomy tube sizing chart.

Conclusions:

  • Paediatric tracheostomy tube selection is primarily driven by individual patient clinical needs.
  • A limited range of tubes are favored for most patients, but alternative options are necessary in specific situations.
Abstract

Keywords:
NewbornChildInfantTracheostomy

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