Pediatric tracheotomy: 3-year experience at a tertiary care center with 54 children.

摘要: performed. Thirty-two patients (59.3%) were male and 22 (40.7%) female. The mean median ages of the 54 14 months (6 days-17 years), respectively. Twenty-six (48.1%) under 1 year age. most common indication for tracheotomy was prolonged intubation (87%), followed by upper airway obstruction (13%). Five (9.2%) underwent semiurgent settings. overall complication rate 29.6% (16/54). Early complications occurred in 7 (13%), including accidental decannulation 2 patients, subcutaneous emphysema 4 hemorrhage patient. Late 9 (16.7%) (stomal granulation stomal infection patients). Eight (14.8%) decannulated successfully. No tracheotomy-related deaths occurred, with an mortality 27.7% (15/54). Pediatric is a relatively safe procedure low incidence procedure-related morbidities. majority procedures (87%). lower related to higher percentage needing assisted ventilation short follow-up period. history tracheotomy, well-known procedure, dates back ancient Greece. total number pediatric tracheotomies their indications have changed considerably last 3-4 decades 1-6 . Tracheotomy potentially life-saving but reports literature suggest that risks associated are significantly children than adults 4-12 During 1970s 1980s, acute inflammatory obstructions, such as epiglottitis, croup diphtheria 3-6,12-19 Evolution modern techniques neonatal intensive care units combined introduction vaccines against Haemophilus influenzae Corynebacterium diphtheriae has turned long-term its relevant sequelae into