Optimal Time of Tracheotomy in Infants
Objective . Infants with respiratory failure may require prolonged intubation. There is no consensus on the time of tracheotomy in neonates. Methods . We evaluated infants applied tracheotomy, time of procedure, and early complications in our neonatal intensive care unit (NICU) retrospectively from...
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Series: | Global Pediatric Health |
Online Access: | https://doi.org/10.1177/2333794X15569300 |
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doaj-f7992236d9784a0894c7a06163a51e632020-11-25T03:49:53ZengSAGE PublishingGlobal Pediatric Health2333-794X2015-01-01210.1177/2333794X1556930010.1177_2333794X15569300Optimal Time of Tracheotomy in InfantsSevim Unal MD0Leyla Karadeniz Bilgin1Deniz Gonulal MD2Fatih Alper Akcan MD3Ankara Children’s Hematology Oncology Research Hospital, Ankara, TurkeyBakırköy Dr. Sadi Konuk Research Hospital, Istanbul, TurkeyAnkara Children’s Hematology Oncology Research Hospital, Ankara, TurkeyAnkara Children’s Hematology Oncology Research Hospital, Ankara, TurkeyObjective . Infants with respiratory failure may require prolonged intubation. There is no consensus on the time of tracheotomy in neonates. Methods . We evaluated infants applied tracheotomy, time of procedure, and early complications in our neonatal intensive care unit (NICU) retrospectively from January 2012 to December 2013. Results . We identified 9 infants applied tracheotomy with gestational ages 34 to 41 weeks. Their diagnoses were hypotonic infant, subglottic stenosis, laryngeal cleft, neck mass, and chronic lung disease. Age on tracheotomy ranged from 4 to 10 weeks. Early complication ratio was 33.3% with minimal bleeding (1), air leak (1), and canal revision requirement (1). We discharged 7 infants, and 2 infants died in the NICU. Conclusion . Tracheotomy makes infant nursing easy for staff and families even at home. If carried out by a trained team, the procedure is safe and has low complication. When to apply tracheotomy should be individualized, and airway damage due to prolonged intubation versus risks of tracheotomy should be taken into consideration.https://doi.org/10.1177/2333794X15569300 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Sevim Unal MD Leyla Karadeniz Bilgin Deniz Gonulal MD Fatih Alper Akcan MD |
spellingShingle |
Sevim Unal MD Leyla Karadeniz Bilgin Deniz Gonulal MD Fatih Alper Akcan MD Optimal Time of Tracheotomy in Infants Global Pediatric Health |
author_facet |
Sevim Unal MD Leyla Karadeniz Bilgin Deniz Gonulal MD Fatih Alper Akcan MD |
author_sort |
Sevim Unal MD |
title |
Optimal Time of Tracheotomy in Infants |
title_short |
Optimal Time of Tracheotomy in Infants |
title_full |
Optimal Time of Tracheotomy in Infants |
title_fullStr |
Optimal Time of Tracheotomy in Infants |
title_full_unstemmed |
Optimal Time of Tracheotomy in Infants |
title_sort |
optimal time of tracheotomy in infants |
publisher |
SAGE Publishing |
series |
Global Pediatric Health |
issn |
2333-794X |
publishDate |
2015-01-01 |
description |
Objective . Infants with respiratory failure may require prolonged intubation. There is no consensus on the time of tracheotomy in neonates. Methods . We evaluated infants applied tracheotomy, time of procedure, and early complications in our neonatal intensive care unit (NICU) retrospectively from January 2012 to December 2013. Results . We identified 9 infants applied tracheotomy with gestational ages 34 to 41 weeks. Their diagnoses were hypotonic infant, subglottic stenosis, laryngeal cleft, neck mass, and chronic lung disease. Age on tracheotomy ranged from 4 to 10 weeks. Early complication ratio was 33.3% with minimal bleeding (1), air leak (1), and canal revision requirement (1). We discharged 7 infants, and 2 infants died in the NICU. Conclusion . Tracheotomy makes infant nursing easy for staff and families even at home. If carried out by a trained team, the procedure is safe and has low complication. When to apply tracheotomy should be individualized, and airway damage due to prolonged intubation versus risks of tracheotomy should be taken into consideration. |
url |
https://doi.org/10.1177/2333794X15569300 |
work_keys_str_mv |
AT sevimunalmd optimaltimeoftracheotomyininfants AT leylakaradenizbilgin optimaltimeoftracheotomyininfants AT denizgonulalmd optimaltimeoftracheotomyininfants AT fatihalperakcanmd optimaltimeoftracheotomyininfants |
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1724493499403862016 |