Related Experiment Video

Updated: Feb 3, 2026

Hemodynamic Precision in the Neonatal Intensive Care Unit using Targeted Neonatal Echocardiography
09:31

Hemodynamic Precision in the Neonatal Intensive Care Unit using Targeted Neonatal Echocardiography

Published on: January 27, 2023

1.6K

Neonatal Tracheostomy

Jonathan Walsh1, Jeffrey Rastatter2

  • 1Department of Otolaryngology Head and Neck Surgery, Johns Hopkins School of Medicine, 601 North Caroline Street, 6th Floor, Baltimore, MD 21287, USA.

Clinics in Perinatology
|November 7, 2018
PubMed

Insights

Neonatal tracheostomies are crucial for infant survival, especially with advances in intensive care. Further research is needed to reduce associated complications and improve long-term outcomes for these children.

Area of Science:

  • Pediatric surgery
  • Neonatology
  • Critical care medicine

Background:

  • Neonatal and infant tracheostomies have been vital for child survival for over 100 years.
  • Advances in neonatal and pediatric intensive care units (NICUs/PICUs) have increased survival rates for previously fatal conditions.
  • Neonatal tracheostomy is integral to managing complex conditions, impacting mortality, morbidity, and development.

Purpose of the Study:

  • To review the evolution of neonatal tracheostomies.
  • To highlight the role of tracheostomy in improving survival and outcomes in critically ill infants.
  • To identify areas for future research focused on reducing morbidity.

Main Methods:

  • Review of historical data and current literature on neonatal and infant tracheostomies.
  • Analysis of changes in indications, survival rates, and complications over time.
  • Examination of technological advancements and their impact on the procedure.

Main Results:

  • The fundamental tracheostomy technique remains largely unchanged.
  • Significant advancements have occurred in the indications for, and survival following, neonatal tracheostomies.
  • Associated morbidities and developmental outcomes remain significant concerns requiring further investigation.

Conclusions:

  • Neonatal tracheostomy remains a critical intervention for improving survival in critically ill infants.
  • Despite improved survival, high associated morbidities necessitate focused research.
  • Future research should aim to optimize outcomes and minimize complications in infants undergoing tracheostomy.

Keywords:
MorbidityNeonatalOutcomesSurgical techniqueTracheostomyTracheotomy

More Related Videos

Manufacture of a Multi-Purpose Low-Cost Animal Bench-Model for Teaching Tracheostomy10:06

Manufacture of a Multi-Purpose Low-Cost Animal Bench-Model for Teaching Tracheostomy

Published on: May 18, 2019

6.0K
Anatomically Realistic Neonatal Heart Model for Use in Neonatal Patient Simulators10:05

Anatomically Realistic Neonatal Heart Model for Use in Neonatal Patient Simulators

Published on: February 5, 2019

6.4K

Related Concept Videos

Tracheostomy Decannulation01:21

Tracheostomy Decannulation

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...
1.5K
Tracheostomy Care II: Procedure01:25

Tracheostomy Care II: Procedure

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...
1.5K
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...
3.4K
Tracheostomy Suctioning II: Procedure01:23

Tracheostomy Suctioning II: Procedure

Tracheostomy suctioning is a vital nursing procedure that involves removing secretions from the tracheostomy tube to maintain airway patency and prevent respiratory complications. Nurses need to understand the proper technique for tracheostomy suctioning to ensure patient safety and comfort. In this guide, we will outline the step-by-step process for performing tracheostomy suctioning, including preparing the sterile field, donning personal protective equipment (PPE), lubricating and connecting...
1.7K
Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

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
The equipment necessary for tracheostomy care includes:
1.2K
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...
6.1K