Related Experiment Video

Updated: Nov 18, 2025

Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications
04:43

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

Published on: March 15, 2024

1.0K

Comparing Long-Term Outcomes in Tracheostomy Placed in the First Year of Life

Jordan R Salley1, Yann-Fuu Kou2, Gopi B Shah1,3

  • 1Department of Otolaryngology, University of Texas Southwestern Medical Center, Dallas, Texas, U.S.A.

The Laryngoscope
|February 10, 2021
PubMed

Insights

Long-term outcomes for pediatric tracheostomy patients were similar regardless of age at procedure. However, a tracheostomy significantly impacts family quality of life, causing physical and emotional distress.

Area of Science:

  • Pediatric Otolaryngology
  • Pediatric Critical Care
  • Pediatric Surgery

Background:

  • Tracheotomy in infants is associated with significant short-term morbidity.
  • Long-term outcomes and quality of life impacts are not well-characterized.

Purpose of the Study:

  • To characterize long-term outcomes in pediatric patients requiring tracheotomy in the first year of life.
  • To assess the impact of tracheostomy on family quality of life.

Main Methods:

  • Retrospective longitudinal registry analysis of 337 pediatric tracheostomy patients (birth to 11 months).
  • Primary outcomes: decannulation and survival.
  • Secondary outcomes: neurocognitive quality of life using PedsQL Family Impact Module.

Main Results:

  • Demographic differences existed between neonates and infants undergoing tracheostomy (e.g., birth weight, prematurity, airway obstruction, ventilation needs).
  • Despite demographic differences, long-term outcomes including decannulation, survival, and neurocognitive quality of life were similar between neonatal and infantile groups.
  • Family quality of life was significantly impacted, with high scores for physical tiredness, emotional frustration, and worry.

Conclusions:

  • Demographic variations in neonatal versus infantile tracheostomy patients do not appear to influence long-term outcomes.
  • Pediatric tracheostomy significantly affects family well-being and quality of life.
Abstract

Keywords:
Pediatric tracheostomyinfantneonate

More Related Videos

Heterotopic and Orthotopic Tracheal Transplantation in Mice used as Models to Study the Development of Obliterative Airway Disease09:10

Heterotopic and Orthotopic Tracheal Transplantation in Mice used as Models to Study the Development of Obliterative Airway Disease

Published on: January 20, 2010

14.2K
Seeding and Implantation of a Biosynthetic Tissue-engineered Tracheal Graft in a Mouse Model09:57

Seeding and Implantation of a Biosynthetic Tissue-engineered Tracheal Graft in a Mouse Model

Published on: April 1, 2019

7.5K

Related Concept Videos

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...
1.9K
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...
600
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...
3.6K
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:
582
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...
826
Trachea01:22

Trachea

The trachea, commonly known as the windpipe, is a vital part of the human respiratory system. It serves as a passageway for air to travel between the larynx and the bronchi, allowing oxygen to reach the lungs. Let's explore its anatomical features, dimensions, layers of the tracheal wall, associated muscles, and the functions of its parts.
Anatomical Features:
Location: About half of the trachea is situated in the neck, anterior to the esophagus, and extends from the larynx (at the level of...
3.6K