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Basics pp 197–213Cite as

Tracheotomy in Children

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Abstract

Tracheotomy in children is a relatively uncommon and high-skill procedure, which is generally performed if ventilator support is required for months to years [1, 2]. Although the procedure is difficult and challenging to perform, it is truly rewarding to access a safe and protected airway. However, the issue remains complex from the psychosocial point of view, for both the growing child and the caregivers and family members [3].

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References

  1. Lewis CH, Carron JD, Perkins JA et al (2003) Tracheotomy in pediatric patients. A national perspective. Arch Otolaryngol Head Neck Surg 129:523–529

    Article  PubMed  Google Scholar 

  2. Bigler J, Holinger P, Johnson K (1954) Tracheotomy in infancy. Pediatrics 13:5

    Google Scholar 

  3. Trachsel D, Hammer J (2006) Indications for tracheotomy in children. Paediatr Respir Rev 7:162–168

    Article  PubMed  Google Scholar 

  4. Davis GM (2006) Tracheostomy in children. Paediatr Respir Rev 7[Suppl 1]:S206–S209

    Article  PubMed  Google Scholar 

  5. Cochrane LA, Bailey CM (2006) Surgical aspects of tracheotomy in children. Paediatr Respir Rev 7:169–174

    Article  PubMed  Google Scholar 

  6. Hotaling AJ, Robbins WK, Madgy DN et al (1992) Pediatric tracheotomy: a review of technique. Am J Otolaryngol 13:115–119

    Article  CAS  PubMed  Google Scholar 

  7. Greenberg JS, Sulek M, de Jong A et al (2001) The role of postoperative chest radiography in pediatric tracheotomy. Int J Pediatr Otorhinolaryngol 60:41–47

    Article  CAS  PubMed  Google Scholar 

  8. Scott CJ, Darowski M, Crabbe DC (1998) Complications of percutaneous dilatational tracheostomy in children. Anaesthesia 53:477–480

    Article  CAS  PubMed  Google Scholar 

  9. Van Heurn LW, Theunissen PH, Ramsay G et al (1996) Pathological changes of the trachea after percutaneous dilational tracheotomy. Chest 109:1466–1469

    Article  PubMed  Google Scholar 

  10. Russel C, Matta B (eds) (2004) Tracheotomy. A multiprofessional handbook. Greenwich Medical Media, London

    Google Scholar 

  11. Koltai PJ (1998) Starplasty, a new technique of pediatric tracheotomy. Arch Otolaryngol Head Neck Surg 124:1105–1111

    CAS  PubMed  Google Scholar 

  12. Eliashar R, Gross M, Attal P et al (2004) “Starplasty” prevents tracheotomy complications in infants. Int J Pediatr Otorhinolaryngol 68:325–329

    Article  PubMed  Google Scholar 

  13. Solares CA, Krakovitz P, Hirose K (2004) Starplasty: revisiting a pediatric tracheotomy technique. Otolaryngol Head Neck Surg 131:717–722

    Article  PubMed  Google Scholar 

  14. Behl S, Watt JWH (2005) Prediction of tracheotomy tube size for paediatric long-term ventilation: an audit of children with spinal cord injury. Br J Anaesth 94:88–91

    Article  CAS  PubMed  Google Scholar 

  15. Penlington GN (1974) Endotracheal tube sizes for children. Anaesthesia 29:494–495

    Article  CAS  PubMed  Google Scholar 

  16. Hardee PS, Cashman M (2003) Ultrasound imaging in the preoperative estimation of the size of tracheotomy tube required in specialised operations in children. Br J Oral Maxillofac Surg 41:312–316

    Article  CAS  PubMed  Google Scholar 

  17. Gullo A, Sorbello M, Frova G (2007) Percutaneous versus surgical tracheotomy: an unfinished symphony. Crit Care Med 35:682–683

    Article  PubMed  Google Scholar 

  18. Zawadzka-Glosa L, Rawiczb M, Chmielik M et al (2004) Percutaneous tracheotomy in children. Int J Pediatr Otorhinolaryngol 68:1387–1390

    Article  Google Scholar 

  19. Sheldon CH, Pudenz RH, Freshwater DB et al (1955) A new method for tracheotomy. J Neurosurg 12:428–431

    Article  Google Scholar 

  20. Ciaglia P, Firsching R, Syniec C (1985) Elective percutaneous dilatational tracheotomy: a new simple bedside procedure; preliminary report. Chest 87:715–719

    Article  CAS  PubMed  Google Scholar 

  21. Fantoni A, Ripamonti D (2002) Tracheotomy in pediatrics patients. Minerva Anestesiol 68:433–442

    CAS  PubMed  Google Scholar 

  22. Toursarkissian B, Fowler CL, Zweng TN et al (1994) Percutaneous dilatational tracheotomy in children and teenagers. J Pediatr Surg 29:1421–1424

    Article  CAS  PubMed  Google Scholar 

  23. Silvia Bárbara C, Rodríguez Núñez A, López Franco M et al (2005) Traqueostomía percutánea bajo control endoscópico en adolescentes. An Pediatr (Barc) 63:160–163

    Article  Google Scholar 

  24. Walz MK (1997) Percutaneous dilational tracheotomy: method indications, contraindications and results. Curr Opin Anesthesiol 10:101–105

    Article  Google Scholar 

  25. Polderman KH, Spijkstra JJ, De Bree R et al (2003) Percutaneous dilatational tracheotomy in the ICU. Optimal organization, low complication rates, and description of a new complication. Chest 123:1595–1602

    Article  PubMed  Google Scholar 

  26. Kremer B, Botos-Kremer AI, Eckel HE (2002) Indications, complications, and surgical techniques for pediatric tracheotomies: an update. J Pediatr Surg 37:1556–1562

    Article  CAS  PubMed  Google Scholar 

  27. Pinto JM, Ansley J, Baroody FM (2001) Lack of utility of postoperative chest radiograph in pediatric tracheotomy. Otolaryngol Head Neck Surg 125:241–244

    Article  CAS  PubMed  Google Scholar 

  28. Hamburger MD, Wold JS, Berry JA et al (2000) Appropriateness of routine postoperative chest radiography after tracheotomy. Arch Otolaryngol Head Neck Surg 126:649–651

    CAS  PubMed  Google Scholar 

  29. Ward RF, Jones J, Carew JF (1995) Current trends in pediatric tracheotomy. Int J Pediatr Otorhinolaryngol 33:233–239

    Article  Google Scholar 

  30. Goldenberg D, Ari EG, Golz A et al (2000) Tracheotomy complications: a retrospective study of 1130 cases. Otolaryngol Head Neck Surg 123:495–500

    Article  CAS  PubMed  Google Scholar 

  31. Alladi A, Rao S, Das K et al (2004) Pediatric tracheotomy: a 13-year experience. Pediatr Surg Int 20:695–698

    Article  CAS  PubMed  Google Scholar 

  32. Carr MM, Poje CP, Kingston L et al (2001) Complications in pediatric tracheotomies. Laryngoscope 111:1925–1928

    Article  CAS  PubMed  Google Scholar 

  33. Lee W, Koltai P, Harrison M et al (2002) Indications for tracheotomy in the pediatric intensive care unit population. A pilot study. Arch Otolaryngol Head Neck Surg 128:1249–1252

    PubMed  Google Scholar 

  34. Wetmore RF, Marsh RR, Thompson ME et al (1999) Pediatric tracheotomy: a changing procedure? Arch Otolaryngol Head Neck Surg 108:695–699

    CAS  Google Scholar 

  35. Carron JD, Derkay CS, Strope GL et al (2000) Pediatric tracheotomies: changing indications and outcomes. Laryngoscope 110:1099–1104

    Article  CAS  PubMed  Google Scholar 

  36. Gaudet PT, Peerless A, Sasaki CT et al (1978) Pediatric tracheotomy and associated complications. Laryngoscope 88:1633–1641

    Article  CAS  PubMed  Google Scholar 

  37. Citta-Pietrolungo TJ, Alexander MA, Cook SP et al (1993) Complications of tracheotomy and decannulation in pediatric and young patients with traumatic brain injury. Arch Phys Med Rehabil 74:905–909

    CAS  PubMed  Google Scholar 

  38. Gianoli JG, Miller RH, Guarisco JL (1999) Tracheotomy in the first year of life. Ann Otol Rhinol Laryngol 99:896–901

    Google Scholar 

  39. Pereira KD, MacGregor AR, McDuffie CM et al (2003) Tracheotomy in preterm infants. Current trends. Arch Otolaryngol Head Neck Surg 129:1268–1271

    Article  PubMed  Google Scholar 

  40. Kenna MA, Reilly JS, Stool SE (1987) Tracheotomy in the preterm infant. Ann Otol Rhinol Laryngol 96:68–71

    CAS  PubMed  Google Scholar 

  41. Rocha EP, Dias MD, Szajmbok FE et al (2000) Tracheostomy in children: there is a place for acceptable risk. J Trauma 49:483–485

    Article  CAS  PubMed  Google Scholar 

  42. Simma B, Spehler D, Burger R (1994) Tracheotomy in children. Eur J Pediatr 153:291–296

    Article  CAS  PubMed  Google Scholar 

  43. Gianoli G, Miller R, Guarisco J (1990) Tracheotomy in the first year of life. Ann Otol Rhinol 92:398–400

    Google Scholar 

  44. Birman C, Beckenham E (1998) Acquired tracheo-esophageal fistula in the pediatric population. Int J Pediatr Otorhinolaryngol 44:109–113

    Article  CAS  PubMed  Google Scholar 

  45. Duncan BW, Howell LJ, deLorimier AA et al (1992) Tracheotomy in children with emphasis on home care. J Pediatr Surg 27:432–435

    Article  CAS  PubMed  Google Scholar 

  46. Sorbello M, Guarino A, Morello G (2007) Practical aspects for managing extubation of the difficult airway. In: Gullo A (ed) Anaesthesia Pain Intensive Care and Emergency Medicine — A.P.I.C.E. Proceedings of the 22nd Postgraduate Course in Critical Care Medicine, Venice-Mestre, 9–11 November 2007. Springer Verlag Italia, pp 81–92

    Google Scholar 

  47. Prescott CA, Vanlierde MJ (1989) Tracheotomy in children — The Red Cross War Memorial Children’s Hospital experience 1980–1985. Int J Pediatr Otorhinolaryngol 17:97–107

    Article  CAS  PubMed  Google Scholar 

  48. Arcand P, Granger J (1988) Pediatric tracheotomies: changing trends. J Otolaryngol 17:121–125

    CAS  PubMed  Google Scholar 

  49. Line WS, Hawkins DB, Kahlstrom EJ et al (1986) Tracheotomy in infants and young children: the changing perspective 1970–1985. Laryngoscope 96:510–515

    Article  PubMed  Google Scholar 

  50. Wetmore RF, Handler SD, Potsic WP (1982) Pediatric tracheotomy. Experience during the past decade. Ann Otol Rhinol Laryngol 91:628–632

    CAS  PubMed  Google Scholar 

  51. Oberwaldner B, Eber E (2006) Tracheotomy care in the home. Paediatr Respir Rev 7:185–190

    Article  PubMed  Google Scholar 

  52. Messineo A, Giusti F, Narne S et al (1995) The safety of home tracheotomy care for children. J Pediatr Surg 30:1246–1248

    Article  CAS  PubMed  Google Scholar 

  53. Buzz-Kelly L, Gordin P (1993) Teaching CPR to parents of children with tracheotomies. MCN Am J Matern Child Nurs 18:158–163

    Article  CAS  PubMed  Google Scholar 

  54. Bryant K, Davis C, Lagrone C (1997) Streamline discharge planning for the child with a new tracheotomy. J Pediatr Nurs 12:191–192

    Article  CAS  PubMed  Google Scholar 

  55. Carnevale FA, Alexander E, Davis M et al (2006) Daily living with distress and enrichment: the moral experience of families with ventilator assisted children at home. Pediatrics 117:e48–e60

    Article  PubMed  Google Scholar 

  56. Lewarski JS (2005) Long-term care of the patient with a tracheotomy. Respir Care 50:534–537

    PubMed  Google Scholar 

  57. Rubulotta F, Pinsky MR (2006) Second International Conference on Rapid Response System and Medical Emergency Team, 28–30 June 2006, Pittsburgh, PA, USA. Crit Care 10:319

    Article  PubMed  Google Scholar 

  58. De Vita MA, Bellomo R, Hillman K et al (2006) Findings of the first consensus conference on medical emergency teams. Crit Care Med 34:2463–2478

    Article  Google Scholar 

  59. Tobin AE, Santamaria JD (2008) An intensivist-led tracheotomy review team is associated with shorter decannulation time and length of stay: a prospective cohort study. Crit Care 12:R48

    Article  PubMed  Google Scholar 

  60. Price B (1992) Living with altered body image: the cancer experience. Br J Nurs 1:641–645

    CAS  PubMed  Google Scholar 

  61. Dropkin MJ (1989) Coping with disfigurement and dysfunction after head and neck cancer surgery: a conceptual framework. Semin Oncol Nurs 5:213–219

    Article  CAS  PubMed  Google Scholar 

  62. Seay SJ, Gay SL (1997) Problem in tracheostomy patient care: recognizing the patient with a displaced tracheostomy tube. ORL Head Neck Nurs 15:10–11

    CAS  PubMed  Google Scholar 

  63. Frova G, Guarino A, Sorbello M et al (2006) Recommendations for airway control and difficult airway management in paediatric patients. Minerva Anestesiol 72:723–748

    CAS  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Anesthesia and Intensive Care, Pediatric Anesthesia and Intensive Care Section, Catania University Hospital, Catania, Italy

    Giuliana Rizzo & Marinella Astuto

  2. Department of Anesthesia and Palliative Care, Montreal Children’s Hospital, “McGill” University, Montreal, Canada

    Giuliana Rizzo

  3. Department of Anesthesia and Intensive Care, Postgraduate School of Anesthesia and Intensive Care, Catania University Hospital, Catania, Italy

    Paolo Murabito, Francesca Rubulotta, Carmela Cutuli & Massimiliano Sorbello

Authors
  1. Giuliana Rizzo
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  2. Paolo Murabito
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  3. Francesca Rubulotta
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  4. Carmela Cutuli
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  5. Massimiliano Sorbello
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  6. Marinella Astuto
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Editor information

Editors and Affiliations

  1. Department of Anesthesia and Intensive Care Pediatric Anesthesia and Intensive Care Section, Catania University Hospital, Catania, Italy

    Marinella Astuto MD

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Rizzo, G., Murabito, P., Rubulotta, F., Cutuli, C., Sorbello, M., Astuto, M. (2009). Tracheotomy in Children. In: Astuto, M. (eds) Basics. Anaesthesia, Intensive Care and Pain in Neonates and Children. Springer, Milano. https://doi.org/10.1007/978-88-470-0655-3_16

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  • DOI: https://doi.org/10.1007/978-88-470-0655-3_16

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-0654-6

  • Online ISBN: 978-88-470-0655-3

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