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Preventing accidental decannulations following tracheostomy
T L Black1, E T Fernandes, M G Carr
1Department of Pediatric Surgery, University of Tennessee Center for the Health Sciences, Memphis.
Journal of Pediatric Surgery
|February 1, 1988
Abstract:
Tracheostomy in infants and children is associated with a high rate of accidental decannulation in the early postoperative period. Eighty-eight patients underwent tracheostomy from 1980 to 1985, and 22 were sutured in place. Accidental decannulation occurred in 31.8% of the nonsutured and 4.5% of the sutured tracheostomies. We advocate suturing tracheostomy tubes in place in infants and children and describe a simple suture technique for this purpose.