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Related Experiment Videos

Tracheostomy in children without heart disease.

S A Saad, D B Groff

    The American Surgeon
    |May 1, 1978
    PubMed
    Summary

    Pediatric tracheostomies for noncardiac conditions are safe when performed with proper technique and intensive care. This study found minimal complications in young patients undergoing the procedure.

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    Area of Science:

    • Pediatric Surgery
    • Otolaryngology
    • Critical Care Medicine

    Background:

    • Tracheostomy in pediatric patients, particularly those under 15 years old, has been a subject of concern regarding potential complications.
    • Previous data on the safety and efficacy of tracheostomies in this age group, especially for noncardiac indications, requires further elucidation.

    Purpose of the Study:

    • To evaluate the safety and complication rates of tracheostomies performed in pediatric patients (under 15 years) between 1968 and 1975.
    • To identify factors contributing to complications and to assess the overall effectiveness of the procedure in this cohort.

    Main Methods:

    • Retrospective review of 27 patients under 15 years of age who underwent tracheostomy between 1968 and 1975.
    • Analysis of patient records to determine primary diagnoses, procedure-related complications (e.g., pneumothorax, sepsis, pneumonia), and mortality.

    Main Results:

    • Only two patients had cardiac disease as the primary indication for tracheostomy.
    • Three pneumothoraces, two cases of sepsis, and one case of pneumonia were potentially related to the tracheostomy.
    • One death was directly attributed to the tracheostomy procedure itself.

    Conclusions:

    • Tracheostomy in pediatric patients for noncardiac conditions can be a safe and effective procedure.
    • Implementing specific measures such as performing the tracheostomy in the operating room with endotracheal intubation, using appropriate tube materials, and ensuring intensive care nursing can minimize complications.

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