Elective tracheostomy in mechanically ventilated children
JCPSP-Journal of the College of Physicians and Surgeons Pakistan. 2012; 22 (6): 414-415
en Inglés
| IMEMR
| ID: emr-131383
ABSTRACT
Tracheostomy is an important procedure in children requiring prolonged mechanical ventilation. We conducted a retrospective study to assess the frequency, indications, postoperative course and short-term outcome of elective tracheostomy in a Paediatric Intensive Care Unit [PICU] of Pakistan. Twenty-five patients underwent tracheostomy in last 5 years [2.2% of all PICU admissions]. Mean age of patients was 6 years and 60% were male. The most common indication for tracheostomy was prolonged mechanical ventilation secondary to neurological disease [60%], followed by upper airway obstruction [40%]. Major complications included accidental decannulation [20%] and tube obstruction [20%]. Three patients [12%] developed ventilator-associated pneumonia after tracheostomy change while persistent bacterial colonization of trachea was observed in 8 patients [32%]. Decannulation was achieved in 40% [10/25]. There was no mortality related to tracheostomy in this series
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Índice:
IMEMR (Mediterraneo Oriental)
Asunto principal:
Cuidados Posoperatorios
/
Periodo Posoperatorio
/
Respiración Artificial
/
Unidades de Cuidado Intensivo Pediátrico
/
Niño
/
Estudios Retrospectivos
Límite:
Femenino
/
Humanos
/
Masculino
Idioma:
Inglés
Revista:
J. Coll. Physicians Surg. Pak.
Año:
2012
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