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Increased Intervals Between Paediatric Tracheostomy Tube Changes: Is it a Safe Technique?

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Abstract

To evaluate the safety of changing tracheostomy tubes every three months in paediatric patients and determine the occurrence of tube-related complications. Retrospective observational chart review was completed from 2018 to 2021 at a tertiary medical centre in Thailand. Tube associated complications were assessed with regards to interval length between tracheostomy tube changes. The rate of complication was compared with previous studies. Out of a total of 108 visits, the average interval between each tube change was 87 days. Of all encounters, 6.48% resulted in a tube-related complication. Of these seven visits, two had an admission for a respiratory infection within 30 days, three experienced accidental decannulation and two resulted in excess granulation tissue formation. A p-value of 0.8 was obtained from a chi-squared test. An interval of 90-days between paediatric tracheostomy tube changes does not increase the rate of tracheostomy tube related complications. This interval may be practical for those in resource limited settings.

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Acknowledgements

We thank Thammasat University Hospital for the provision of surgical records and Assist. Prof. Dr. Junya Pattaraarchachai for her consultation regarding statistical analysis.

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Authors and Affiliations

  1. Chulabhorn International College of Medicine, Thammasat University, Khlong Nueng, Pathum Thani, 12120, Thailand

    Pheemaphol Samornpitakul, Warisra Watcharaporn & Dhave Setabutr

  2. Department of Otolaryngology Head and Neck Surgery, Thammasat University Hospital, Khlong Nueng, Pathum Thani, 12120, Thailand

    Dhave Setabutr

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  1. Pheemaphol Samornpitakul
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  3. Dhave Setabutr
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Correspondence to Dhave Setabutr.

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The authors have no relevant financial or non-financial interest to disclose. The authors reported no conflict of interest and did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors. There is no conflict of interest. Retrospective chart review of deidentified data was conducted. Informed consent is not applicable.

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The study was approved by the Ethics Committee (EC) of the Clinical Research Centre, Faculty of Medicine, Thammasat University.

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Samornpitakul, P., Watcharaporn, W. & Setabutr, D. Increased Intervals Between Paediatric Tracheostomy Tube Changes: Is it a Safe Technique?. Indian J Otolaryngol Head Neck Surg 75, 503–507 (2023). https://doi.org/10.1007/s12070-022-03302-y

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