Tracheotomy in the preschool population: indications and outcomes.
Otolaryngol Head Neck Surg
; 137(2): 280-3, 2007 Aug.
Article
em En
| MEDLINE
| ID: mdl-17666256
ABSTRACT
OBJECTIVE:
Although more tracheotomy procedures are performed within the first year of life than in any other age group, preschool-aged children requiring tracheotomy remain understudied. We characterize the indications and outcomes for patients between the ages of 3 and 6 years undergoing tracheotomy.METHODS:
Out of 480 pediatric tracheotomy procedures performed at a tertiary-care hospital between 1988 and 2004, 15 patients underwent primary tracheotomy between 3 and 6 years of age.RESULTS:
Most (60%) procedures were performed for pulmonary toilet. Upper-airway obstruction represented the second most common indication (40%), and trauma necessitated tracheotomy procedures more often than had been predicted (40%). The decannulation rate was 40%; 2 patients died.CONCLUSION:
Trauma contributed to both upper-airway obstruction as well as requirements for pulmonary toilet. These procedures performed secondary to trauma will likely continue to increase.SIGNIFICANCE:
Tracheotomy procedures in the preschool population remain uncommon; however, nearly half of those studied were performed as a direct result of otherwise preventable trauma.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Traqueotomia
/
Obstrução das Vias Respiratórias
Tipo de estudo:
Etiology_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Child
/
Child, preschool
/
Female
/
Humans
/
Male
Idioma:
En
Ano de publicação:
2007
Tipo de documento:
Article