Related Experiment Video

Updated: Nov 10, 2025

The Rigid Tube as an Alternative in Controlling the Problematic Airway
08:26

The Rigid Tube as an Alternative in Controlling the Problematic Airway

Published on: June 6, 2020

6.6K

Predictive Factors for Postoperative Tracheostomy Requirement in Children Undergoing Surgical Resection of

Mohammad Sadegh Masoudi1, Reza Taheri1, Sina Zoghi2

  • 1Department of Neurosurgery, Shiraz University of Medical Sciences, Shiraz, Iran.

World Neurosurgery
|April 3, 2021
PubMed

Insights

Posterior fossa medulloblastoma surgery in children can lead to tracheostomy. Factors like brainstem compression and absent gag reflex predict this need, but total tumor resection may prevent it.

Area of Science:

  • Pediatric Oncology
  • Neurosurgery

Background:

  • Medulloblastoma is the most common pediatric brain tumor.
  • Postoperative complications, including ventilator dependency, impact recovery after medulloblastoma resection.

Purpose of the Study:

  • Identify predictors of tracheostomy requirement in pediatric patients post-posterior fossa medulloblastoma resection.
  • Evaluate factors influencing postoperative respiratory support needs.

Main Methods:

  • Retrospective chart review of pediatric patients (<18 years) undergoing medulloblastoma resection (2012-2020).
  • Analysis of clinical data to identify correlations with tracheostomy need.

Main Results:

  • 26% of patients required tracheostomy post-operation.
  • Brainstem compression and absent gag reflex pre-operation were key predictors.
  • Subtotal resection and postoperative brainstem contusion increased likelihood of tracheostomy.

Conclusions:

  • Total tumor resection may prevent tracheostomy, reducing postoperative morbidity.
  • Understanding predictive factors can guide clinical management and potentially avoid tracheostomy.
Abstract

Keywords:
Cranial neuropathyMedulloblastomaPediatric neurosurgeryPosterior fossa tumorRespiratory failureTracheostomy

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

986
Role of Diffusion MRI Tractography in Endoscopic Endonasal Skull Base Surgery09:53

Role of Diffusion MRI Tractography in Endoscopic Endonasal Skull Base Surgery

Published on: July 5, 2021

3.9K

Related Concept Videos

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:
542
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...
1.8K
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...
3.4K
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...
556
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...
3.3K
Tracheostomy Suctioning I: Pre-Procedural Steps01:26

Tracheostomy Suctioning I: Pre-Procedural Steps

Tracheostomy suctioning is a critical procedure healthcare professionals perform to maintain a patent airway in patients with a tracheostomy tube. This procedure is necessary when secretions accumulate in the airway, causing respiratory distress. Here is a step-wise procedural guide for performing tracheostomy suctioning using an open system.
Equipment Required
First, gather all necessary equipment: a sterile suction catheter, a sterile disposable container, sterile gloves, a towel or...
1.5K