Tracheotomy in children

To inspect and describe the results of tracheotomies carried out at our ENT Department and to assess changes in indications over the last few decades. Retrospective study of 13 patients, aged 3 months to 14 years, admitted by the ENT Department to the Paediatric ICU at Puerta del Mar University Hosp...

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Bibliographic Details
Published in:Acta otorrinolaringológica española 2007-05, Vol.58 (5), p.187-190
Main Authors: Rodríguez-Pérez, Miguel Alberto, Porras Alonso, Eulalia, Benito Navarro, Juan Ramón, Rodríguez Fernández-Freire, Antonio, Hervás Núnez, María José
Format: Article
Language:eng ; spa
Subjects:
Adolescent
Child
Child, Preschool
Female
Humans
Infant
Male
Respiration, Artificial
Respiratory Insufficiency - epidemiology
Respiratory Insufficiency - surgery
Retrospective Studies
Tracheotomy - methods
Tracheotomy - standards
Tracheotomy - statistics & numerical data
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Summary:To inspect and describe the results of tracheotomies carried out at our ENT Department and to assess changes in indications over the last few decades. Retrospective study of 13 patients, aged 3 months to 14 years, admitted by the ENT Department to the Paediatric ICU at Puerta del Mar University Hospital for elective tracheotomy over a 92-month period. The main indication is shared by obstructive respiratory insufficiency, post-surgery extubation failure and as a means of assisting ventilation in children requiring prolonged intubation. In the last 30 years the indications for paediatric tracheotomy have changed and the number of children needing intubation for more than 20-30 days has increased. It is no longer an emergency procedure to overcome a blockage in the upper airways but has instead become a technique for maintaining assisted ventilation for the medium to long term.
ISSN:0001-6519
2173-5735
2173-5735
DOI:10.1016/S2173-5735(07)70332-0