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Tracheostomy in Children: A Call for Deeper Reflection

Dilip Kumar Venkatesan1, Pratyusha Kambagiri2

  • 1Department of Pediatrics, Aster CMI Hospital, Bengaluru, Karnataka, India.

Indian Journal of Critical Care Medicine : Peer-Reviewed, Official Publication of Indian Society of Critical Care Medicine
|November 10, 2025
PubMed

Insights

This study highlights the critical need for careful consideration of tracheostomy in pediatric patients. It emphasizes a deeper reflection on the procedure

Area of Science:

  • Pediatric Critical Care Medicine
  • Otolaryngology
  • Pediatric Surgery

Background:

  • Tracheostomy is a common procedure in pediatric intensive care.
  • Indications and long-term outcomes require ongoing evaluation.
  • Evidence-based guidelines are essential for optimal patient management.

Purpose of the Study:

  • To review current practices and outcomes of tracheostomy in children.
  • To identify areas for improvement in pediatric tracheostomy care.
  • To advocate for a more reflective approach to the procedure.

Main Methods:

  • Retrospective analysis of pediatric tracheostomy cases.
  • Review of relevant literature and clinical guidelines.
  • Discussion of potential complications and long-term sequelae.

Main Results:

  • Variability in indications and techniques observed.
  • Significant short-term and long-term complications reported.
  • Need for standardized protocols and multidisciplinary care.

Conclusions:

  • Pediatric tracheostomy necessitates a thorough, individualized assessment.
  • Further research is needed to optimize patient selection and care pathways.
  • A call for deeper reflection on the benefits and risks in pediatric airway management.

Keywords:
Mechanical ventilationQuality of lifeTracheostomyTracheostomy complication

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