Indications, complications, and surgical techniques for pediatric tracheostomies—An update

摘要: Abstract Background: With the decrease of life-threatening obstructive upper airway infections and ongoing improvement intensive care medicine, role tracheostomy in children has been changing considerably, until now. The aim this study was to establish data regarding indications, complications, techniques pediatric tracheostomy, which would reflect current state science. Methods: authors analyzed international literature as well their own experience with 25 less than 6 years age who were operated on between 1980 1996. Results: Literature proved be very heterogeneous terms terminology, patient groups, operation techniques, complications. Within past decades, long-term intubation congenital anomalies respiratory tract have become increasingly prevalent, whereas inflammatory diseases an indication for tracheostomy. Endotracheal alternative resulted frequent tracheostomies general. Today, can ventilated months without considerable However, individual, clinical, fiberoptical controls are necessary. Tracheostomy-related complications not changed significantly. Fatalities mostly caused by underlying disease. most causes tracheostomy-related death cannula obstruction accidental decannulation. early pneumomediastinum, pneumothorax, wound bleedings. Subsequent often granulations tracheal stenosis. Conclusions: authors' research agreed widely that literature. no occurred. Possibly, because operative technique. In opinion authors, establishing a cartilage window facilitates exchange reduces risk fatal J Pediatr Surg 37:1556-1562. Copyright 2002, Elsevier Science (USA). All rights reserved.