Early and long‐term outcome after tracheostomy in children

摘要: Background:  Tracheostomy has become an increasingly important issue for children discharged with primary or secondary respiratory problems. Despite the known advantages, considerable controversy remains regarding appropriate indications, timing, and results of tracheostomy, in context home care. The aims this study were to retrospectively evaluate our experience tracheostomy consider problems related procedure, both hospital after discharge. Methods:  We performed a retrospective chart review all patients receiving new tracheostomies department, over 5-year period. Results:  Thirty 30 period. overall rate among ventilated was 3.4%. Most (90%) placed mechanical ventilation. Patients who successfully decannulated spent significantly less time intensive care, before (P= 0.01) surgical procedure 0.034) when compared either without These also had shorter total care admissions 0.002) hospitalizations 0.013). Successful decannulation achieved five (17%). cumulative mortality 17% pediatric unit, 20% within days, 41% 1 year. Conclusions:  admitted anatomic functional airway higher rates. PICU stays prior tracheostomy. In neurologic muscular disease, chronic heart/lung rates are very low, these have risk discharge.