Surgical aspects of tracheostomy in children

Tracheostomy involves the surgical formation of a stoma between the trachea and the skin. It is classically thought of as a treatment to alleviate airway obstruction; however, its clinical applications are varied and include long-term ventilatory support, being an aid in pulmonary toilet and use as...

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Bibliographic Details
Published in:Paediatric respiratory reviews 2006-09, Vol.7 (3), p.169-174
Main Authors: Cochrane, Lesley-Ann, Bailey, C. Martin
Format: Article
Language:English
Subjects:
Anesthesia
Child
complications
decannulation
Humans
Intraoperative Complications
paediatric
Postoperative Care
Preoperative Care
Respiratory Insufficiency - therapy
surgery
Surgical Stomas
Trachea - surgery
tracheostomy
Tracheostomy - instrumentation
Tracheostomy - methods
tracheostomy tube
upper airway obstruction
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Summary:Tracheostomy involves the surgical formation of a stoma between the trachea and the skin. It is classically thought of as a treatment to alleviate airway obstruction; however, its clinical applications are varied and include long-term ventilatory support, being an aid in pulmonary toilet and use as a covering procedure during airway surgery. In this article, we review the surgical aspects of tracheostomy, including preoperative considerations, tracheostomy tube choice, operative technique and postoperative complications. Postoperative care of the child with a tracheostomy will also be discussed.
ISSN:1526-0542
1526-0550
DOI:10.1016/j.prrv.2006.06.005