Pediatric Tracheostomy: Timing of the First Tube Change

被引:10
作者
Van Buren, Nicholas C. [1 ]
Narasimhan, Evan R. [1 ]
Curtis, Jonathan L. [1 ]
Muntz, Harlan R. [1 ]
Meier, Jeremy D. [1 ]
机构
[1] Univ Utah, Sch Med, Div Otolaryngol Head & Neck Surg, Salt Lake City, UT 84132 USA
关键词
pediatric; tracheostomy; granuloma; bronchoscopy; TRACHEOTOMY; COMPLICATIONS; EXPERIENCE; CARE;
D O I
10.1177/0003489414560430
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Objectives: No consensus exists on appropriate timing for the first tracheostomy tube change. The purpose of this study is to evaluate the safety of early tracheostomy change in the pediatric population. Methods: A case series of all children undergoing tracheostomy at a tertiary children's hospital between 2008-2013 was retrospectively reviewed. Results: A total of 151 children undergoing tracheostomy were identified. The average age was 48.1 66 months and median age was 10 months. The initial tracheostomy tube change occurred on postoperative day 3 (POD 3) in 65 children (43.0%) safely without any complications. Conclusions: Early tracheostomy tube change was safely performed in a significant portion of this population. Routine tube change on POD 3 in many children could save resources by reducing the length of ICU and hospital stays.
引用
收藏
页码:374 / 377
页数:4
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