Multidisciplinary Pediatric Tracheostomy Teams

Yann-Fuu Kou1, Stephen R Chorney2, Romaine F Johnson2

  • 1Department of Otolaryngology, University of Texas Southwestern Medical Center, 2001 Inwood Road 6th Floor, Dallas, TX 75390, USA; Division of Pediatric Otolaryngology, Children's Medical Center Dallas, 2350 North Stemmons Freeway, Dallas, TX 75207, USA.

Insights

Multidisciplinary tracheostomy teams improve care for medically complex children. These teams enhance patient safety and clinical outcomes for pediatric patients with tracheostomies.

Area of Science:

  • Pediatric Critical Care Medicine
  • Patient Safety Initiatives

Background:

  • Neonatal and pediatric critical care advances lead to more medically complex children requiring tracheostomies.
  • These vulnerable children face risks from comorbidities, tracheostomy procedures, equipment issues, and caregiver limitations.

Purpose of the Study:

  • To review current evidence on multidisciplinary tracheostomy teams for pediatric patients.
  • To offer insights into the future development of these specialized care programs.

Main Methods:

  • Literature review of studies on multidisciplinary tracheostomy teams.
  • Analysis of quality metrics and clinical outcomes associated with team implementation.

Main Results:

  • Multidisciplinary tracheostomy teams are effective in addressing patient safety concerns.
  • Implementation of these teams correlates with improvements in quality metrics and clinical outcomes.

Conclusions:

  • Multidisciplinary tracheostomy teams are crucial for managing medically complex pediatric patients.
  • Further development and research into these programs are essential for advancing care.

Related Concept Videos

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...
1.9K
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,...
849
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...
932
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:
331
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...
321
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...
2.5K