Indications and complications related in pediatric tracheostomy

Author: 
Víctor Román Sánchez-Balderas., María Fernández-Olvera and Marco Ulises Martinez-Martinez

Objectives: The purpose of this study was to review the relationship between the presence ofcomplications with the indication of tracheostomy in pediatric patients.
Methods: The chartsof pediatric patients who underwent tracheotomy over a 6-years period with a 4-years follow-up were reviewed. The indications for tracheostomy were separated inairway obstruction (AO) orprolonged intubation (PI).
Results: 61 records were included in the study. The mean age was 3.6 years, 44.3% of the patients were younger than 1 year. Twenty-one complications (34.4%) occurred in 14 patients (22.9%), more frequent complications were: accidental decannulation and tracheostomy cannula obstruction. In 31 patients, tracheostomy was performed due to PI.Thirty patients underwent tracheostomy for AO. Seven complications were found in each indication group for tracheostomy. The mean age of the patients with complications was 2.7 years, there were statistically significant differences in age with no complications patients. Five patients died due to tracheotomy-related causes, all cases by accidental decannulation.
Conclusion: The indication to perform the tracheostomy in pediatric patients is not related to the presence of complications. Patients younger than 1 year have more possibilities of tracheostomy complications.

Download PDF: 
DOI: 
http://dx.doi.org/10.24327/ijcar.2018.12709.2243
Select Volume: 
Volume7