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Pediatric Surgery International

, Volume 20, Issue 9, pp 695–698 | Cite as

Pediatric tracheostomy: a 13-year experience

  • A. Alladi
  • S. Rao
  • K. Das
  • A. R. Charles
  • A. J. D’CruzEmail author
Original Article

Abstract

Pediatric tracheostomy has been reported to be a surgical procedure with significant morbidity and mortality. The use of tracheostomy in airway management has changed over time as regards indication and outcome. A review of the last 13 years’ experience in our institution was carried out to focus on this group of patients and the recent trends in airway management. A retrospective analysis of hospital records was done and information collected with respect to age, gender, indication for tracheostomy, duration, complications, and follow-up. Thirty-nine tracheotomies were done in 36 patients, of whom males outnumbered females 2:1. The mean patient age was 41.6 months while nearly a third were newborns. The indications were congenital and acquired obstructive lesions. Apart from nine cases, all have been treated and decannulated. Follow-up ranged from 1 month to 8 years, and decannulation time from 48 h to 45 months. Home tracheostomy care was very well managed by the parents. One tracheostomy-related death was encountered. Complications were minor and transient and occurred post-decannulation in our series, in contrast to the major complications, both acute and chronic, reported in the literature. More neonates and infants are undergoing tracheostomy and surviving. Pediatric tracheostomy is a safe procedure with home care by parents feasible.

Keywords

Tracheostomy Pediatric Airway 

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Copyright information

© Springer-Verlag 2004

Authors and Affiliations

  • A. Alladi
    • 1
  • S. Rao
    • 1
  • K. Das
    • 1
  • A. R. Charles
    • 1
  • A. J. D’Cruz
    • 1
    Email author
  1. 1.Department of Pediatric SurgerySt. John’s Medical College HospitalBangalore India

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