• Users Online: 92
  • Print this page
  • Email this page
ORIGINAL ARTICLE
Year : 2021  |  Volume : 8  |  Issue : 4  |  Page : 182-185

Indications and outcome of tracheostomy in a pediatric intensive care unit: A prospective observational study


1 DepartmentofPediatrics,KarwarInstituteofMedicalSciences,Karwar, Karnataka, India
2 DepartmentofPediatricOtorhinolaryngology, IGICH,Bengaluru,Karnataka, India
3 DepartmentofPediatrics, IGICH,Bengaluru,Karnataka, India

Correspondence Address:
Dr. Gangasamudra Veerappa Basavaraja
ProfessorandInchargePediatricCriticalCareUnit, DepartmentofPediatricMedicine,IGICH,Bengaluru-560029
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jpcc.jpcc_173_20

Rights and Permissions

Background: Over the past decades, the indications for tracheostomy in children and the routine posttracheostomy course have changed significantly. The purpose of this study was to identify the indications, complications, and outcomes of pediatric tracheostomy. Subjects and Methods: This prospective observational study was conducted involving all children admitted to the pediatric intensive care unit (PICU) requiring tracheostomy from January 2018 to June 2019. A pre-structured proforma was used. The data regarding indications of tracheostomy, complications, and outcomes were analyzed. Patients were followed up till decannulation during the study period. Results: Out of 73 patients included in the study, 68.5% (n = 53) were males and 31.5% (n = 20) were females, with a mean age of 5.4 years. The most common primary indication for tracheostomy was neurological impairment (56.2%, n = 41) and airway obstruction (19.2%, n = 14). The average duration of PICU stay at the time of tracheostomy was 15.4 days. Prolonged mechanical ventilation was required in 62.3% of patients. Elective tracheostomy was done in 84.9% of patients. Complications due to tracheostomy were noted in 43.8% (n = 32) of cases, of which suprastomal granulations were the most common. The average length of PICU stay after tracheostomy was 21.8 days. The rate of successful decannulation was 69.9%. The most common cause for decannulation failure was subglottic stenosis. Conclusions: Neurological impairment requiring prolonged mechanical ventilation was the most common indication for tracheostomy. Suprastomal granulations were the most common complication and subglottic stenosis being the most common cause for decannulation failure.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed247    
    Printed4    
    Emailed0    
    PDF Downloaded54    
    Comments [Add]    

Recommend this journal