International Pediatric Otolaryngology Group (IPOG) management recommendations: Pediatric tracheostomy decannulation

被引:12
作者
Kennedy, Aimee [1 ]
Hart, Catherine K. [1 ,2 ]
de Alarcon, Alessandro [1 ,2 ]
Balakrishnan, Karthik [3 ]
Boudewyns, An [4 ]
Chun, Robert [5 ]
Fayoux, Pierre [6 ]
Goudy, Steven L. [7 ]
Hartnick, Christopher [8 ]
Hsu, Wei-Chung [9 ,10 ]
Johnson, Romaine F. [11 ]
Kuo, Michael [12 ]
Peer, Shazia [13 ,14 ]
Pransky, Seth M. [15 ]
Rahbar, Reza [16 ]
Rickert, Scott [17 ]
Roy, Soham [18 ]
Russell, John [19 ]
Sandu, Kishore [20 ]
Sidell, Douglas R. [3 ]
Smith, Richard J. [21 ]
Soma, Marlene [22 ]
Spratley, Jorge [23 ]
Thierry, Briac [24 ]
Thompson, Dana M. [25 ]
Trozzi, Marilena [26 ]
Watters, Karen [16 ]
White, David R. [27 ]
Wyatt, Michelle [28 ]
Zalzal, George H. [29 ]
Zdanksi, Carlton J. [30 ]
Zur, Karen B. [31 ]
Rutter, Michael J. [1 ,2 ]
机构
[1] Cincinnati Childrens Hosp Med Ctr, Div Pediat Otolaryngol Head & Neck Surg, Cincinnati, OH 45229 USA
[2] Univ Cincinnati, Coll Med, Dept Otolaryngol Head & Neck Surg, Cincinnati, OH 45229 USA
[3] Stanford Univ, Lucile Packard Childrens Hosp, Dept Otolaryngol Head & Neck Surg, Palo Alto, CA 94304 USA
[4] Univ Antwerp, Antwerp Univ Hosp, Dept Otorhinolaryngol Head & Neck Surg, Antwerp, Belgium
[5] Med Coll Wisconsin, Childrens Hosp Wisconsin, Dept Otolaryngol, Milwaukee, WI 53226 USA
[6] Univ Hosp Lille, Dept Pediat Otolaryngol Head & Neck Surg, Lille, France
[7] Emory Univ, Dept Otolaryngol Head & Neck Surg, Atlanta, GA 30322 USA
[8] Harvard Med Sch, Massachusetts Eye & Ear Infirm, Dept Otol & Laryngol, Boston, MA 02115 USA
[9] Natl Taiwan Univ, Coll Med Taipei, Div Pediat Otolaryngol, Taipei, Taiwan
[10] Childrens Hosp, Taipei, Taiwan
[11] UT Southwestern Med Ctr, Childrens Hlth Airway Management Program, Dallas, TX USA
[12] Birmingham Childrens Hosp, Otolaryngol, Birmingham, W Midlands, England
[13] Univ Cape Town, Div Otolaryngol, Cape Town, South Africa
[14] Red Cross War Mem Childrens Hosp, Cape Town, South Africa
[15] Pediat Specialty Partners, Pediat Otolaryngol Head & Neck Surg, San Diego, CA USA
[16] Harvard Med Sch, Boston Childrens Hosp, Div Pediat Otolaryngol, Boston, MA 02115 USA
[17] New York Univ Langone Hlth, Hassenfeld Childrens Hosp, Div Pediat Otolaryngol, New York, NY USA
[18] Univ Texas Houston, Childrens Mem Hermann Hosp, Med Sch, Dept Otorhinolaryngol Head & Neck Surg, Houston, TX USA
[19] Childrens Hlth Ireland, Dept Paediat Otolaryngol, Dublin, Ireland
[20] CHU Vaudois, Lausanne Univ Hosp, Dept Otolaryngol, Airway Unit, Lausanne, Switzerland
[21] Univ Iowa Hosp & Clin, Dept Otolaryngol Head & Neck Surg, Iowa City, IA 52242 USA
[22] Sydney Childrens Hosp, Paediat Otolaryngol, Randwick, NSW, Australia
[23] Univ Porto, S Joao Hosp Ctr, Med Sch, Pediat Otorhinolaryngol, Porto, Portugal
[24] Necker Childrens Hosp, Dept Pediat Otolaryngol Head & Neck Surg, Paris, France
[25] Northwestern Univ, Ann & Robert H Lurie Childrens Hosp, Feinberg Sch Med, Div Pediat Otolaryngol, Chicago, IL 60611 USA
[26] Bambino Gesu Pediat Hosp, Pediat Surg Dept, Rome, Italy
[27] MUSC Shawn Jenkins Childrens Hosp, Div Pediat Otolaryngol, Charleston, SC USA
[28] Great Ormond St Hosp Sick Children, Paediat Otolaryngol, London, England
[29] George Washington Univ, Childrens Natl Med Ctr, Div Otolaryngol, Washington, DC USA
[30] Univ N Carolina, Dept Otolaryngol Head & Neck Surg & Pediat, Chapel Hill, NC 27515 USA
[31] Univ Penn, Childrens Hosp Philadelphia, Perelman Sch Med, Dept Otolaryngol Head & Neck Surg, Philadelphia, PA USA
关键词
Tracheostomy; Decannulation; CLINICAL CONSENSUS; CHILDREN; POLYSOMNOGRAPHY; PROTOCOL;
D O I
10.1016/j.ijporl.2020.110565
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Objectives: To provide recommendations to otolaryngologists, pulmonologists, and allied clinicians for tracheostomy decannulation in pediatric patients. Methods: An iterative questionnaire was used to establish expert recommendations by the members of the International Pediatric Otolaryngology Group. Results: Twenty-six members completed the survey. Recommendations address patient criteria for decannulation readiness, airway evaluation prior to decannulation, decannulation protocol, and follow-up after both successful and failed decannulation. Conclusion: Tracheostomy decannulation recommendations are aimed at improving patient-centered care, quality and safety in children with tracheostomies.
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页数:5
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