RT Journal Article
SR Electronic
T1 Tracheostomy: Pediatric Considerations
JF Respiratory Care
FD American Association for Respiratory Care
SP 1082
OP 1090
VO 55
IS 8
A1 Deutsch, Ellen S
YR 2010
UL http://rc.rcjournal.com/content/55/8/1082.abstract
AB Pediatric patients for whom tracheotomy is a consideration have different anatomy, medical conditions, and prognoses than adults; even the tracheotomy tubes are different. Indications for pediatric tracheotomy generally include bypassing airway obstruction, providing access for prolonged mechanical ventilation, and facilitating tracheobronchial toilet. Subglottic stenosis is an important indication for tracheotomy in children; its etiology, prevention, and alternative options for management are presented. Discussion includes the benefits, risks, impact on families, techniques for tracheotomy tube changes, and alternatives to tracheotomy, with illustrative photographs and diagrams.