Acta otorrinolaringologica espanola · 2007
[Tracheotomy in children].
Аннотация на английскомСтатьяНазвание и аннотация: Перевод в очереди
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Rodríguez-Pérez Miguel Alberto, Porras Alonso Eulalia, Benito Navarro Juan Ramón, Rodríguez Fernández-Freire Antonio, Hervás Núnez María José
Аннотация
OBJECTIVE: To inspect and describe the results of tracheotomies carried out at our ENT Department and to assess changes in indications over the last few decades.
MATERIAL AND METHODS: Retrospective study of 13 patients, aged 3 months to 14 years, admitted by the ENT Department to the Paediatric ICU at Puerta del Mar University Hospital for elective tracheotomy over a 92-month period.
RESULTS: The main indication is shared by obstructive respiratory insufficiency, post-surgery extubation failure and as a means of assisting ventilation in children requiring prolonged intubation.
CONCLUSIONS: In the last 30 years the indications for paediatric tracheotomy have changed and the number of children needing intubation for more than 20-30 days has increased. It is no longer an emergency procedure to overcome a blockage in the upper airways but has instead become a technique for maintaining assisted ventilation for the medium to long term.
MATERIAL AND METHODS: Retrospective study of 13 patients, aged 3 months to 14 years, admitted by the ENT Department to the Paediatric ICU at Puerta del Mar University Hospital for elective tracheotomy over a 92-month period.
RESULTS: The main indication is shared by obstructive respiratory insufficiency, post-surgery extubation failure and as a means of assisting ventilation in children requiring prolonged intubation.
CONCLUSIONS: In the last 30 years the indications for paediatric tracheotomy have changed and the number of children needing intubation for more than 20-30 days has increased. It is no longer an emergency procedure to overcome a blockage in the upper airways but has instead become a technique for maintaining assisted ventilation for the medium to long term.