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Tracheotomie und Trachealkanülen im Kindesalter

Tracheotomy and tracheal cannula in children

  • Pädiatrische Notfälle
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Notfall + Rettungsmedizin Aims and scope Submit manuscript

Zusammenfassung

Einführung

Das Verständnis der Erkrankungen, die zu einer Tracheotomie führen, und Grundkenntnisse der Tracheotomie sind Grundlage der Betreuung von Notfällen bei Kindern.

Problematik und Management

Die Tracheotomie stellt einen lebensrettenden oder -erhaltenden Eingriff dar. Demgegenüber ist sie mit Risiken und Komplikationen verbunden. Die Versorgung tracheotomierter Kinder sollte gemäß den vorliegenden Leitlinien sowie den eigenen Erfahrungen standardisiert durchgeführt werden. Notfalltraining ist sinnvoll. Notfälle sind v. a. durch akute Atemwegsverlegung begründet, kommen jedoch auch bei Verschlechterung einer respiratorischen Insuffizienz vor.

Schlussfolgerung

Übung am Phantom sowie Übernehmen von Standards schaffen Sicherheit bei der Durchführung dieser Technik.

Abstract

Introduction

Emergencies in tracheotomized children is rare, so is the individual experience of emergency staff. The article gives information about routine care of such patients with hints how to avoid problems.

Problems and management

Tracheotomy can be a life-saving or life-sustaining intervention but in contrast there is a risk of life-threatening complications and a burden of secondary complications. The treatment of children by tracheotomy should be standardized and follow current guidelines as well as personal experience but training is absolutely necessary. Emergencies result in particular from blocked airways and deterioration of respiratory insufficiency.

Conclusion

Practicing on dummies and regular education in intensive care units provide safety in treating tracheotomized children.

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Conflict of interest

B. Hinrichs declares that he has no conflict of interest.

This article does not contain any studies with human or animal subjects.

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Authors and Affiliations

  1. Abt. Kinder- und Jugendmedizin, Helios Mariahilf Klinik Hamburg, Stader Straße 203c, 21075, Hamburg, Deutschland

    B. Hinrichs

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  1. B. Hinrichs
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Correspondence to B. Hinrichs.

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Hinrichs, B. Tracheotomie und Trachealkanülen im Kindesalter. Notfall Rettungsmed 16, 48–53 (2013). https://doi.org/10.1007/s10049-012-1616-3

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  • DOI: https://doi.org/10.1007/s10049-012-1616-3

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