[The child with a tracheostomy, past and present: different indications, different children, different care]. / Het kind met een tracheostoma, vroeger en nu; andere indicaties, andere kinderen, andere zorg.
Ned Tijdschr Geneeskd
; 151(42): 2308-12, 2007 Oct 20.
Article
em Nl
| MEDLINE
| ID: mdl-18064931
ABSTRACT
--Until a few decades ago, acute infectious airway obstruction was the primary indication for tracheotomy in children. Its incidence has decreased considerably due to vaccination programmes and antibiotic treatment. --Today, the primary reasons for performing tracheotomy in a child are chronic airway obstruction (laryngeal injury after intubation, craniofacial malformation, lymphangioma) and prolonged artificial ventilation. --Consequently, the percentage of children who may be decannulated after a short period has decreased. --Tracheotomised children now require longer and more intensive care than before. --Hospital discharge is possible if parents and care providers are provided thorough training and counselling; this process requires specific medical, nursing and psychosocial support. --The increasing proportion of tracheotomised children cared for at home necessitates greater involvement from family practitioners.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Traqueotomia
/
Obstrução das Vias Respiratórias
/
Medicina de Família e Comunidade
/
Serviços de Assistência Domiciliar
/
Intubação Intratraqueal
Limite:
Child
/
Humans
Idioma:
Nl
Ano de publicação:
2007
Tipo de documento:
Article