Paediatric tracheostomy: Sheffield experience 1979-1999.

Abstract

We have reviewed our experience of tracheostomy in children over the past 20 years at Sheffield Children's Hospital. One hundred and forty-eight tracheostomies were performed in 143 children aged one day to 13 years old (average 27 months). Sixty-five per cent of patients were < one year old. The indications for tracheostomy were upper airways' obstruction in 72 per cent, and assisted ventilation/ bronchopulmonary toilet in 28 per cent. The commonest single reason was acquired subglottic stenosis (SGS) in infants, accounting for 25 per cent of tracheostomies (36/143). The complication rate of tracheostomy was 46 per cent, most commonly granulation tissue formation. There were four deaths directly due to the tracheostomy: two accidental decannulations and two obstructions. Eighty-nine children were decannulated under our care. The average time until decannulation was 25 months.

• Authors: Katie I Midwinter, Sean Carrie, Peter D Bull
• Journal: The Journal of laryngology and otology (J Laryngol Otol) Vol. 116 Issue 7 Pg. 532-5 (Jul 2002) ISSN: 0022-2151 [Print] England
• PMID: 12238673 (Publication Type: Journal Article)

Topics

• Adolescent
• Age Distribution
• Airway Obstruction (surgery)
• Child
• Child, Preschool
• Device Removal (adverse effects)
• England
• Female
• Granulation Tissue
• Humans
• Infant
• Infant, Newborn
• Male
• Respiration, Artificial
• Retrospective Studies
• Tracheostomy (adverse effects, methods, statistics & numerical data)
• Treatment Outcome