Araştırma Makalesi
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Yıl 2023, Cilt: 76 Sayı: 2, 148 - 153, 31.07.2023

Öz

Etik Beyan

Makalemizin etik kurul onayı Mersin Üniversitesi Klinik Araştırmalar Etik Kurulu’ndan Helsinki Bildirgesi’ne uygun olarak alınmıştır (karar no: 2023/194, tarih: 29.03.2023).

Proje Numarası

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Kaynakça

  • 1. Greaney D, Russell J, Dawkins I, et al. A retrospective observational study of acquired subglottic stenosis using low-pressure, high-volume cuffed endotracheal tubes. Paediatr Anaesth. 2018;28:1136-1141.
  • 2. Sathyamoorthy M, Lerman J, Asariparampil R, et al. Stridor in Neonates After Using the Microcuff and Uncuffed Tracheal Tubes: A Retrospective Review. Anesth Analg. 2015;12:1321-1324.
  • 3. Watters KF. Tracheostomy in Infants and Children. Respir Care. 2017;62:799- 825.
  • 4. Ergün E, Ateş U, Selvi Can Ö, et al. A new trick for percutaneous tracheostomy in children. Journal of Ankara University Faculty of Medicine. 2020;73:70-72.
  • 5. Graham RJ, Rodday AM, Parsons SK. Family-centered assessment and function for children with chronic mechanical respiratory support. J Pediatr Health Care. 2014;28:295-304.
  • 6. Campisi P, Forte V. Pediatric tracheostomy. Semin Pediatr Surg. 2016;25:191-195.
  • 7. Kobashi Y, Matsushima T. Clinical analysis of patients requiring longterm mechanical ventilation of over three months: ventilator-associated pneumonia as a primary complication. Intern Med. 2003;42:25-32.
  • 8. Nafiu OO, Mpody C, Kirkby SE, et al. Association of preoperative pneumonia with postsurgical morbidity and mortality in children. Anesth Analg. 2021;132:1380-1388.
  • 9. Remz M, Luria I, Gravenstein M, et al. Prevention of airway fires: do not overlook the expired oxygen concentration. Anesth Analg. 2013;117:1172- 1176.
  • 10. Pacheco AE, Leopold E. Tracheostomy in children: Recommendations for a safer technique. Semin Pediatr Surg. 2021;30:151054.
  • 11. Bhardwaj N. Pediatric cuffed endotracheal tubes. J Anaesthesiol Clin Pharmacol. 2013;29:13-18.
  • 12. Volsko TA, Parker SW, Deakins K, et al. AARC clinical practice guideline: management of pediatric patients with tracheostomy in the acute care setting. Respir Care. 2021;66:144-155.
  • 13. Smith MM, Benscoter D, Hart CK. Pediatric tracheostomy care updates. Curr Opin Otolaryngol Head Neck Surg. 2020;28:425-429.
  • 14. Cole F. Pediatric Formulas for the anesthesiologist. Arch Pediatr Adolesc Med. 1957;94:672-673.
  • 15. Jobe AH, Bancalari E.Bronchopulmonary dysplasia. American Journal of Respiratory and Critical Care Medicine. 2001;163:1723-1729.
  • 16. Barret JP, Desai MH, Herndon DN. Effects of tracheostomies on infection and airway complications in pediatric burn patients. Burns J Int Soc Burn Inj. 2000;26:190-193.
  • 17. Lee W, Koltai P, Harrison AM, et al. Indications for tracheotomy in the pediatric intensive care unit population. Arch Otolaryngol Head Neck Surg. 2002;128:1249-1252.
  • 18. Holloway AJ, Spaeder MC, Basu S. Association of timing of tracheostomy on clin- ical outcomes in PICU patients. Pediatr Crit Care Med J Soc Crit Care Med World Fed Pediatr Intensive Crit Care Soc. 2015;16:52-58.
  • 19. Watters K, O’Neill M, Zhu H, et al. Two-year mortality, complications, and healthcare use in children with medicaid following tracheostomy. Laryngoscope. 2016;126:2611-2617.
  • 20. Schlessel JS, Harper RG, Rappa H, et al. Tracheostomy: acute and longterm mortality and morbidity in very low birth weight premature infants. J Pediatr Surg. 1993;28:873-876.
  • 21. Orliaguet GA, Renaud E, Lejay M, et al. Postal survey of cuffed or uncuffed tracheal tubes used for paediatric tracheal intubation. Paediatr Anaesth. 2001;11:277-281.
  • 22. De Orange FA, Andrade RG, Lemos A, et al. Cuffed versus uncuffed endotracheal tubes for general anaesthesia in children aged eight years and under. Cochrane Database Syst Rev. 2017;11:CD011954.
  • 23. Lubianca Neto JF, Castagno OC, Schuster AK. Complications of tracheostomy in children: a systematic review. Braz J Otorhinolaryngol. 2022;88:882-890.
  • 24. Garcia-Urabayen D, López-Fernandez YM, Pilar-Orive J, et al. Analysis of tracheostomies in a pediatric intensive care unit during the period 2003- 2013. An Pediatr (Barc). 2016;84:18-23.
  • 25. Colman KL, Mandell DL, Simons JP. Impact of stoa maturation on pediatric tracheostomy-related complications. Arch Otolaryngol Head Neck Surg. 2010;136:471-474.
  • 26. Chang J, Sidell DR. Tracheostomy in Infants in the Neonatal Intensive Care Unit. Neoreviews. 2020;21:323-334.
  • 27. Woods R, Geyer L, Mehanna R, et al. Pediatric tracheostomy first tube change: when is it safe? Int J Pediatr Otorhinolaryngol. 2019;120:78-81.
  • 28. Backman S, Björling G, Johansson UB, et al. Material wear of polymeric tracheostomy tubes: a six-month study. Laryngoscope. 2009;119:657-664.
  • 29. Yaremchuk K. Regular tracheostomy tube changes to prevent formation of granulation tissue. Laryngoscope. 2003;113:1-10.

Evaluation of Early-term Results of Cuffed/Non-cuffed Tracheostomy Tubes in Infants and Children for Tracheostomy Procedure

Yıl 2023, Cilt: 76 Sayı: 2, 148 - 153, 31.07.2023

Öz

Objectives: Deciding to choose cuffed or uncuffed tubes in tracheostomy applications is also a topic of debate in children. The aim was determining
the standards of tracheostomy procedure by evaluating the early term results in children.
Materials and Methods: Patients who underwent elective tracheostomy procedures between January 2018- January 2023 were included. The ages
of the patients, the duration of preoperative intubation, the types of tracheostomy tubes, and the early postoperative complications were examined.
The patients were grouped as infants (1-12 months) and children (1-18 years) according to their age and cuffed and uncuffed tube group according
to the tracheostomy tube type. The distribution of postoperative complications between age groups and tube-types was examined. Postoperative
complications were also investigated according to preoperative intubation time.
Results: A total of 43 patients: 24 (55.8%) in the infant age group and 19 (44.1%) in the pediatric age group. According to tracheostomy tube types:
21 (48.8%) were cuffed and 22 (51.2%) were uncuffed. Preoperative intubation time was 33.6±2.03 (minimum: 12, maximum: 113) days. Fourteen patients had postoperative complications. Preoperative intubation time was significantly longer in the infant age group than in the pediatric age
group (p=0.041). There was a significant relationship between postoperative complications in the infant age group, and cuffed groups (p<0.001).
Conclusion: The results obtained in the study suggest that by reducing the preoperative intubation time, early postoperative complications after
tracheostomy can be reduced. In addition, it is thought that cuffed tracheostomy cannulas can be used safely in the early postoperative period
in children.

Etik Beyan

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Destekleyen Kurum

-

Proje Numarası

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Teşekkür

-

Kaynakça

  • 1. Greaney D, Russell J, Dawkins I, et al. A retrospective observational study of acquired subglottic stenosis using low-pressure, high-volume cuffed endotracheal tubes. Paediatr Anaesth. 2018;28:1136-1141.
  • 2. Sathyamoorthy M, Lerman J, Asariparampil R, et al. Stridor in Neonates After Using the Microcuff and Uncuffed Tracheal Tubes: A Retrospective Review. Anesth Analg. 2015;12:1321-1324.
  • 3. Watters KF. Tracheostomy in Infants and Children. Respir Care. 2017;62:799- 825.
  • 4. Ergün E, Ateş U, Selvi Can Ö, et al. A new trick for percutaneous tracheostomy in children. Journal of Ankara University Faculty of Medicine. 2020;73:70-72.
  • 5. Graham RJ, Rodday AM, Parsons SK. Family-centered assessment and function for children with chronic mechanical respiratory support. J Pediatr Health Care. 2014;28:295-304.
  • 6. Campisi P, Forte V. Pediatric tracheostomy. Semin Pediatr Surg. 2016;25:191-195.
  • 7. Kobashi Y, Matsushima T. Clinical analysis of patients requiring longterm mechanical ventilation of over three months: ventilator-associated pneumonia as a primary complication. Intern Med. 2003;42:25-32.
  • 8. Nafiu OO, Mpody C, Kirkby SE, et al. Association of preoperative pneumonia with postsurgical morbidity and mortality in children. Anesth Analg. 2021;132:1380-1388.
  • 9. Remz M, Luria I, Gravenstein M, et al. Prevention of airway fires: do not overlook the expired oxygen concentration. Anesth Analg. 2013;117:1172- 1176.
  • 10. Pacheco AE, Leopold E. Tracheostomy in children: Recommendations for a safer technique. Semin Pediatr Surg. 2021;30:151054.
  • 11. Bhardwaj N. Pediatric cuffed endotracheal tubes. J Anaesthesiol Clin Pharmacol. 2013;29:13-18.
  • 12. Volsko TA, Parker SW, Deakins K, et al. AARC clinical practice guideline: management of pediatric patients with tracheostomy in the acute care setting. Respir Care. 2021;66:144-155.
  • 13. Smith MM, Benscoter D, Hart CK. Pediatric tracheostomy care updates. Curr Opin Otolaryngol Head Neck Surg. 2020;28:425-429.
  • 14. Cole F. Pediatric Formulas for the anesthesiologist. Arch Pediatr Adolesc Med. 1957;94:672-673.
  • 15. Jobe AH, Bancalari E.Bronchopulmonary dysplasia. American Journal of Respiratory and Critical Care Medicine. 2001;163:1723-1729.
  • 16. Barret JP, Desai MH, Herndon DN. Effects of tracheostomies on infection and airway complications in pediatric burn patients. Burns J Int Soc Burn Inj. 2000;26:190-193.
  • 17. Lee W, Koltai P, Harrison AM, et al. Indications for tracheotomy in the pediatric intensive care unit population. Arch Otolaryngol Head Neck Surg. 2002;128:1249-1252.
  • 18. Holloway AJ, Spaeder MC, Basu S. Association of timing of tracheostomy on clin- ical outcomes in PICU patients. Pediatr Crit Care Med J Soc Crit Care Med World Fed Pediatr Intensive Crit Care Soc. 2015;16:52-58.
  • 19. Watters K, O’Neill M, Zhu H, et al. Two-year mortality, complications, and healthcare use in children with medicaid following tracheostomy. Laryngoscope. 2016;126:2611-2617.
  • 20. Schlessel JS, Harper RG, Rappa H, et al. Tracheostomy: acute and longterm mortality and morbidity in very low birth weight premature infants. J Pediatr Surg. 1993;28:873-876.
  • 21. Orliaguet GA, Renaud E, Lejay M, et al. Postal survey of cuffed or uncuffed tracheal tubes used for paediatric tracheal intubation. Paediatr Anaesth. 2001;11:277-281.
  • 22. De Orange FA, Andrade RG, Lemos A, et al. Cuffed versus uncuffed endotracheal tubes for general anaesthesia in children aged eight years and under. Cochrane Database Syst Rev. 2017;11:CD011954.
  • 23. Lubianca Neto JF, Castagno OC, Schuster AK. Complications of tracheostomy in children: a systematic review. Braz J Otorhinolaryngol. 2022;88:882-890.
  • 24. Garcia-Urabayen D, López-Fernandez YM, Pilar-Orive J, et al. Analysis of tracheostomies in a pediatric intensive care unit during the period 2003- 2013. An Pediatr (Barc). 2016;84:18-23.
  • 25. Colman KL, Mandell DL, Simons JP. Impact of stoa maturation on pediatric tracheostomy-related complications. Arch Otolaryngol Head Neck Surg. 2010;136:471-474.
  • 26. Chang J, Sidell DR. Tracheostomy in Infants in the Neonatal Intensive Care Unit. Neoreviews. 2020;21:323-334.
  • 27. Woods R, Geyer L, Mehanna R, et al. Pediatric tracheostomy first tube change: when is it safe? Int J Pediatr Otorhinolaryngol. 2019;120:78-81.
  • 28. Backman S, Björling G, Johansson UB, et al. Material wear of polymeric tracheostomy tubes: a six-month study. Laryngoscope. 2009;119:657-664.
  • 29. Yaremchuk K. Regular tracheostomy tube changes to prevent formation of granulation tissue. Laryngoscope. 2003;113:1-10.
Toplam 29 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Çocuk Cerrahisi
Bölüm Makaleler
Yazarlar

Caner İsbir 0000-0003-0887-9817

Proje Numarası -
Yayımlanma Tarihi 31 Temmuz 2023
Yayımlandığı Sayı Yıl 2023 Cilt: 76 Sayı: 2

Kaynak Göster

APA İsbir, C. (2023). Evaluation of Early-term Results of Cuffed/Non-cuffed Tracheostomy Tubes in Infants and Children for Tracheostomy Procedure. Ankara Üniversitesi Tıp Fakültesi Mecmuası, 76(2), 148-153. https://doi.org/10.4274/atfm.galenos.2023.95867
AMA İsbir C. Evaluation of Early-term Results of Cuffed/Non-cuffed Tracheostomy Tubes in Infants and Children for Tracheostomy Procedure. Ankara Üniversitesi Tıp Fakültesi Mecmuası. Temmuz 2023;76(2):148-153. doi:10.4274/atfm.galenos.2023.95867
Chicago İsbir, Caner. “Evaluation of Early-Term Results of Cuffed/Non-Cuffed Tracheostomy Tubes in Infants and Children for Tracheostomy Procedure”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 76, sy. 2 (Temmuz 2023): 148-53. https://doi.org/10.4274/atfm.galenos.2023.95867.
EndNote İsbir C (01 Temmuz 2023) Evaluation of Early-term Results of Cuffed/Non-cuffed Tracheostomy Tubes in Infants and Children for Tracheostomy Procedure. Ankara Üniversitesi Tıp Fakültesi Mecmuası 76 2 148–153.
IEEE C. İsbir, “Evaluation of Early-term Results of Cuffed/Non-cuffed Tracheostomy Tubes in Infants and Children for Tracheostomy Procedure”, Ankara Üniversitesi Tıp Fakültesi Mecmuası, c. 76, sy. 2, ss. 148–153, 2023, doi: 10.4274/atfm.galenos.2023.95867.
ISNAD İsbir, Caner. “Evaluation of Early-Term Results of Cuffed/Non-Cuffed Tracheostomy Tubes in Infants and Children for Tracheostomy Procedure”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 76/2 (Temmuz 2023), 148-153. https://doi.org/10.4274/atfm.galenos.2023.95867.
JAMA İsbir C. Evaluation of Early-term Results of Cuffed/Non-cuffed Tracheostomy Tubes in Infants and Children for Tracheostomy Procedure. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2023;76:148–153.
MLA İsbir, Caner. “Evaluation of Early-Term Results of Cuffed/Non-Cuffed Tracheostomy Tubes in Infants and Children for Tracheostomy Procedure”. Ankara Üniversitesi Tıp Fakültesi Mecmuası, c. 76, sy. 2, 2023, ss. 148-53, doi:10.4274/atfm.galenos.2023.95867.
Vancouver İsbir C. Evaluation of Early-term Results of Cuffed/Non-cuffed Tracheostomy Tubes in Infants and Children for Tracheostomy Procedure. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2023;76(2):148-53.