Paediatrics and Child Health
Tracheostomy is an important procedure in children requiring prolonged mechanical ventilation. We conducted a retrospective study to assess the frequency, indications, postoperative course and short-term outcome of elective tracheostomy in a Paediatric Intensive Care Unit (PICU) of Pakistan. Twenty-five patients underwent tracheostomy in last 5 years (2.2 % of all PICU admissions). Mean age of patients was 6 years and 60% were male. The most common indication for tracheostomy was prolonged mechanical ventilation secondary to neurological disease (60%), followed by upper airway obstruction (40%). Major complications included accidental decannulation (20%) and tube obstruction (20%). Three patients (12%) developed ventilator-associated pneumonia after tracheostomy change while persistent bacterial colonization of trachea was observed in 8 patients (32%). Decannulation was achieved in 40% (10/25). There was no mortality related to tracheostomy in this series.
Publication ( Name of Journal)
Journal of the College of Physicians and Surgeons Pakistan
(2012). Elective tracheostomy in mechanically ventilated children. Journal of the College of Physicians and Surgeons Pakistan, 22(6), 414-5.
Available at: https://ecommons.aku.edu/pakistan_fhs_mc_women_childhealth_paediatr/3