Preoperative Communication with Children Who Need a Tracheostomy
Health Communication in Otorhinolaryngology, NOVA Publications , ss.261-269, 2026
- Yayın Türü: Kitapta Bölüm / Araştırma Kitabı
- Basım Tarihi: 2026
- Yayınevi: NOVA Publications
- Sayfa Sayıları: ss.261-269
- Anahtar Kelimeler: airway, cardiorespiratory compromise, children, tracheostomy, upper airway obstruction
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Over time, there has been a shift in both the frequency and the reasons pediatric tracheostomy is performed. In the past, tracheostomy was most commonly performed when an infectious disease blocked the airway. However, currently, neuromuscular or respiratory issues requiring extended ventilation are the leading causes of pediatric tracheostomy. The adage of performing a tracheostomy as soon as the idea occurs to you might not be relevant anymore. This article covers both when and how to perform a tracheostomy on a child. Remember that the hospital's resources, the medical staff's confidence in delaying the tracheostomy, and the surgeon's skill all play a role in determining the specific indications and the optimal timing for the procedure. Acute upper airway obstruction emergency tracheostomies have decreased significantly due to vaccination programs, advancements in anesthesia, and better materials engineering. Nowadays, a tracheostomy is usually performed on children when one of two things is true: [1] they are expected to have long-term cardiorespiratory compromise due to chronic ventilatory (or, very rarely, cardiac] insufficiency, or [2] they have a permanent upper airway blockage that will not go away for a long time.