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Pediatric tracheostomy decannulation: what's the evidence?
Tiffany Raynor1, Joshua Bedwell
1Texas Children's Hospital, Houston, TX, USA.
Current Opinion in Otolaryngology & Head and Neck Surgery
|September 26, 2023
Summary
Pediatric decannulation requires a stepwise approach. Evidence-based guidelines are lacking, but protocols often include airway evaluation, capping trials, and tube downsizing for safe tracheostomy removal in children.
Area of Science:
- Pediatric Otolaryngology
- Pediatric Respiratory Medicine
- Pediatric Critical Care
Background:
- Pediatric tracheostomy is common in medically complex children, but decannulation can be challenging.
- Failure to decannulate leads to significant morbidity and mortality.
- There is a lack of evidence-based guidelines for pediatric tracheostomy decannulation.
Conclusions:
- Pediatric decannulation should be a stepwise process.
- Protocols should be safe, expedient, and resource-conscious.
- Institutional protocols are essential for consistent care and quality improvement.
- Further research is needed to identify patient selection criteria for PSG.
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