Related Experiment Video

Updated: Dec 29, 2025

Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
05:39

Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia

Published on: May 26, 2023

2.2K

The effect of tracheotomy on ventilator-associated pneumonia rate in children

Sevgi Topal1, Emine Demir2, Gülhan Atakul1

  • 1Health Sciences University, Dr. Behcet Uz Children's Hospital, Pediatric Intensive Care Unit, Turkey.

International Journal of Pediatric Otorhinolaryngology
|February 5, 2020
PubMed

Insights

Tracheotomy significantly reduced ventilator-associated pneumonia (VAP) rates in children requiring prolonged mechanical ventilation. This study highlights tracheotomy as a beneficial intervention for reducing VAP in pediatric intensive care units.

Area of Science:

  • Pediatric critical care medicine
  • Respiratory medicine
  • Infectious disease epidemiology

Background:

  • Ventilator-associated pneumonia (VAP) is a significant concern in pediatric intensive care units (PICUs).
  • Limited data exists on the impact of tracheotomy on VAP rates in pediatric populations.
  • Tracheotomy is a procedure that may alter airway management and potentially influence VAP incidence.

Purpose of the Study:

  • To evaluate the effect of tracheotomy on the incidence of VAP in children.
  • To compare VAP rates in pediatric patients before and after undergoing tracheotomy.

Main Methods:

  • A retrospective evaluation of pediatric patients in a PICU who underwent tracheotomy.
  • Inclusion criteria: diagnosis of VAP at least once and mechanical ventilation (MV) for at least 30 days before and after tracheotomy.
  • VAP rates were calculated (VAP number x1000/day of MV) and compared using logistic regression analysis.

Main Results:

  • The study included 47 pediatric patients (59.6% female).
  • VAP rates were significantly lower after tracheotomy (3.2 per 1000 MV days) compared to before tracheotomy (5.9 per 1000 MV days).
  • Logistic regression showed a significant decrease in VAP rates post-tracheotomy (OR: 0.91, p=0.017).

Conclusions:

  • Tracheotomy is associated with a decreased rate of VAP in children.
  • The findings suggest that tracheotomy may be a protective measure against VAP in pediatric patients requiring long-term mechanical ventilatory support.
Abstract

Keywords:
Intensive carePediatricsTracheotomyVentilator-associated pneumonia

More Related Videos

Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications04:43

Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications

Published on: March 15, 2024

1.2K
Murine Oropharyngeal Aspiration Model of Ventilator-associated and Hospital-acquired Bacterial Pneumonia04:32

Murine Oropharyngeal Aspiration Model of Ventilator-associated and Hospital-acquired Bacterial Pneumonia

Published on: June 28, 2018

12.3K

Related Concept Videos

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,...
1.6K
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...
2.4K
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...
4.8K
Pneumonia I: Introduction01:30

Pneumonia I: Introduction

Pneumonia is an acute respiratory infection that targets the lungs, specifically the alveoli. These tiny air sacs, essential for oxygen exchange, become engorged with pus and fluid, severely hindering breathing, decreasing oxygen absorption, and causing significant pain and discomfort during respiration.
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
656
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...
960
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...
1.3K