Related Experiment Video

Updated: Apr 24, 2026

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation
04:46

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation

Published on: January 17, 2011

22.3K

Tracheostomy in children: a narrative review

Maria Vargas1, Giuseppe Servillo1

  • 1Department of Neurologic, Reproductive and Odontostomatological Sciences, University of Naples Federico II, Naples, Italy.

Frontiers in Surgery
|April 17, 2026
PubMed

Insights

Pediatric tracheostomy (artificial airway) has advanced since 1999, expanding its use beyond emergencies to improve quality of life for children with complex respiratory needs.

Area of Science:

  • Pediatric Surgery
  • Pulmonology
  • Critical Care Medicine

Background:

  • Tracheostomy procedures in pediatric care have evolved significantly since 1999.
  • Advancements are driven by technological progress and enhanced understanding of pediatric respiratory physiology.
  • The application of tracheostomy has broadened from emergency use to managing chronic conditions.

Purpose of the Study:

  • To provide insights into the evolving role of tracheostomy in pediatric care.
  • To inform healthcare professionals involved in managing children with tracheostomies.
  • To highlight the expanded applications including long-term respiratory support and aspiration management.

Main Methods:

  • This is a review article, not a systematic review.
  • It synthesizes current knowledge and clinical insights.
  • Focuses on the changes and expanded applications of pediatric tracheostomy.

Main Results:

  • Tracheostomy is now utilized for long-term respiratory support.
  • It plays a role in managing chronic aspiration in children.
  • The procedure contributes to improving the quality of life for medically complex children.

Conclusions:

  • Pediatric tracheostomy has transformed from an emergency intervention to a vital tool for comprehensive care.
  • Technological and physiological understanding have expanded its therapeutic scope.
  • It significantly enhances the management and quality of life for children with complex respiratory conditions.

Keywords:
childrencritical careepidemiologyreviewtracheostomy

More Related Videos

Guidelines for Elective Pediatric Fiberoptic Intubation11:19

Guidelines for Elective Pediatric Fiberoptic Intubation

Published on: January 17, 2011

19.0K
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

1.8K

Related Concept Videos

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...
6.2K
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...
9.3K
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...
5.7K
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:
2.2K
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...
3.1K
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...
2.8K