Tracheostomy in the Young Pediatric Burn Patient
OBJECTIVE To evaluate the incidence of complications in comparison with the benefits of tracheostomy in young pediatric burn patients (newborn to 3 years old). DESIGN Retrospective survey. SETTING Tertiary care burn center. PATIENTS A total of 1549 consecutive pediatric burn patients, of whom 180 we...
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| Veröffentlicht in: | Archives of surgery (Chicago. 1960) 1998-05, Vol.133 (5), p.537-540 |
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| container_title | Archives of surgery (Chicago. 1960) |
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| creator | Coln, C. Eric Purdue, Gary F Hunt, John L |
| description | OBJECTIVE To evaluate the incidence of complications in comparison with the benefits of tracheostomy in young pediatric burn patients (newborn to 3 years old). DESIGN Retrospective survey. SETTING Tertiary care burn center. PATIENTS A total of 1549 consecutive pediatric burn patients, of whom 180 were intubated. INTERVENTIONS Tracheostomy was performed in 76 children. MAIN OUTCOME MEASURES Duration of mechanical ventilation, mortality, respiratory complications, airway complications, and condition of the airway at discharge from the hospital. RESULTS Seventy-six patients required tracheostomy. Their mean burn size was 34% total body surface area and mean length of stay in the hospital was 56 days. There were no perioperative complications. Eight patients (10%) could not be decannulated because of airway obstruction. Five of these outgrew their obstruction, 2 required surgery, and 1 continues to be evaluated for laryngeal reconstruction. CONCLUSION Pediatric tracheostomy can be performed safely with no perioperative complications and acceptable chronic morbidity.--> |
| doi_str_mv | 10.1001/archsurg.133.5.537 |
| format | Article |
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Eric ; Purdue, Gary F ; Hunt, John L</creator><creatorcontrib>Coln, C. Eric ; Purdue, Gary F ; Hunt, John L</creatorcontrib><description>OBJECTIVE To evaluate the incidence of complications in comparison with the benefits of tracheostomy in young pediatric burn patients (newborn to 3 years old). DESIGN Retrospective survey. SETTING Tertiary care burn center. PATIENTS A total of 1549 consecutive pediatric burn patients, of whom 180 were intubated. INTERVENTIONS Tracheostomy was performed in 76 children. MAIN OUTCOME MEASURES Duration of mechanical ventilation, mortality, respiratory complications, airway complications, and condition of the airway at discharge from the hospital. RESULTS Seventy-six patients required tracheostomy. Their mean burn size was 34% total body surface area and mean length of stay in the hospital was 56 days. There were no perioperative complications. Eight patients (10%) could not be decannulated because of airway obstruction. Five of these outgrew their obstruction, 2 required surgery, and 1 continues to be evaluated for laryngeal reconstruction. CONCLUSION Pediatric tracheostomy can be performed safely with no perioperative complications and acceptable chronic morbidity.--></description><identifier>ISSN: 0004-0010</identifier><identifier>ISSN: 2168-6254</identifier><identifier>EISSN: 1538-3644</identifier><identifier>EISSN: 2168-6262</identifier><identifier>DOI: 10.1001/archsurg.133.5.537</identifier><identifier>PMID: 9605917</identifier><language>eng</language><publisher>United States: American Medical Association</publisher><subject>Burns - mortality ; Burns - surgery ; Child, Preschool ; Female ; Humans ; Infant ; Male ; Retrospective Studies ; Tracheostomy - adverse effects ; Tracheostomy - methods</subject><ispartof>Archives of surgery (Chicago. 1960), 1998-05, Vol.133 (5), p.537-540</ispartof><rights>Copyright American Medical Association May 1998</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a482t-d348c97e6a59adac952dc971c3832e8babb43c4580dc11e74083cf49891396933</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://jamanetwork.com/journals/jamasurgery/articlepdf/10.1001/archsurg.133.5.537$$EPDF$$P50$$Gama$$H</linktopdf><linktohtml>$$Uhttps://jamanetwork.com/journals/jamasurgery/fullarticle/10.1001/archsurg.133.5.537$$EHTML$$P50$$Gama$$H</linktohtml><link.rule.ids>64,314,778,782,3329,27907,27908,76240,76243</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9605917$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Coln, C. Eric</creatorcontrib><creatorcontrib>Purdue, Gary F</creatorcontrib><creatorcontrib>Hunt, John L</creatorcontrib><title>Tracheostomy in the Young Pediatric Burn Patient</title><title>Archives of surgery (Chicago. 1960)</title><addtitle>Arch Surg</addtitle><description>OBJECTIVE To evaluate the incidence of complications in comparison with the benefits of tracheostomy in young pediatric burn patients (newborn to 3 years old). DESIGN Retrospective survey. SETTING Tertiary care burn center. PATIENTS A total of 1549 consecutive pediatric burn patients, of whom 180 were intubated. INTERVENTIONS Tracheostomy was performed in 76 children. MAIN OUTCOME MEASURES Duration of mechanical ventilation, mortality, respiratory complications, airway complications, and condition of the airway at discharge from the hospital. RESULTS Seventy-six patients required tracheostomy. Their mean burn size was 34% total body surface area and mean length of stay in the hospital was 56 days. There were no perioperative complications. Eight patients (10%) could not be decannulated because of airway obstruction. Five of these outgrew their obstruction, 2 required surgery, and 1 continues to be evaluated for laryngeal reconstruction. CONCLUSION Pediatric tracheostomy can be performed safely with no perioperative complications and acceptable chronic morbidity.--></description><subject>Burns - mortality</subject><subject>Burns - surgery</subject><subject>Child, Preschool</subject><subject>Female</subject><subject>Humans</subject><subject>Infant</subject><subject>Male</subject><subject>Retrospective Studies</subject><subject>Tracheostomy - adverse effects</subject><subject>Tracheostomy - methods</subject><issn>0004-0010</issn><issn>2168-6254</issn><issn>1538-3644</issn><issn>2168-6262</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkL1OwzAURi0EKqXwACAhRQxsCbavndgjrfiTKtGhDEyW47htqiYptjP07XHV0oHJ1_rO_XR1ELojOCMYkyftzMr3bpkRgIxnHIozNCQcRAo5Y-doiDFmaSTxJbryfh0nKiQdoIHMMZekGCI8d9qsbOdD1-ySuk3CyibfXd8uk5mtah1cbZJx79pkpkNt23CNLhZ64-3N8R2hr9eX-eQ9nX6-fUyep6lmgoa0AiaMLGyuudSVNpLTKv6JAQHUilKXJQPDuMCVIcQWDAswCyaFJCBzCTBCj4feret-euuDampv7GajW9v1XhURzQtZRPDhH7ju4r3xNkWBcs4x7NvoATKu897Zhdq6utFupwhWe5fqz6WKLhVX0WVcuj8292Vjq9PKUV7Mbw-5bvQppITkhMIv4Pp36w</recordid><startdate>19980501</startdate><enddate>19980501</enddate><creator>Coln, C. Eric</creator><creator>Purdue, Gary F</creator><creator>Hunt, John L</creator><general>American Medical Association</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>19980501</creationdate><title>Tracheostomy in the Young Pediatric Burn Patient</title><author>Coln, C. Eric ; Purdue, Gary F ; Hunt, John L</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a482t-d348c97e6a59adac952dc971c3832e8babb43c4580dc11e74083cf49891396933</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Burns - mortality</topic><topic>Burns - surgery</topic><topic>Child, Preschool</topic><topic>Female</topic><topic>Humans</topic><topic>Infant</topic><topic>Male</topic><topic>Retrospective Studies</topic><topic>Tracheostomy - adverse effects</topic><topic>Tracheostomy - methods</topic><toplevel>online_resources</toplevel><creatorcontrib>Coln, C. Eric</creatorcontrib><creatorcontrib>Purdue, Gary F</creatorcontrib><creatorcontrib>Hunt, John L</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of surgery (Chicago. 1960)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Coln, C. Eric</au><au>Purdue, Gary F</au><au>Hunt, John L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Tracheostomy in the Young Pediatric Burn Patient</atitle><jtitle>Archives of surgery (Chicago. 1960)</jtitle><addtitle>Arch Surg</addtitle><date>1998-05-01</date><risdate>1998</risdate><volume>133</volume><issue>5</issue><spage>537</spage><epage>540</epage><pages>537-540</pages><issn>0004-0010</issn><issn>2168-6254</issn><eissn>1538-3644</eissn><eissn>2168-6262</eissn><abstract>OBJECTIVE To evaluate the incidence of complications in comparison with the benefits of tracheostomy in young pediatric burn patients (newborn to 3 years old). DESIGN Retrospective survey. SETTING Tertiary care burn center. PATIENTS A total of 1549 consecutive pediatric burn patients, of whom 180 were intubated. INTERVENTIONS Tracheostomy was performed in 76 children. MAIN OUTCOME MEASURES Duration of mechanical ventilation, mortality, respiratory complications, airway complications, and condition of the airway at discharge from the hospital. RESULTS Seventy-six patients required tracheostomy. Their mean burn size was 34% total body surface area and mean length of stay in the hospital was 56 days. There were no perioperative complications. Eight patients (10%) could not be decannulated because of airway obstruction. Five of these outgrew their obstruction, 2 required surgery, and 1 continues to be evaluated for laryngeal reconstruction. CONCLUSION Pediatric tracheostomy can be performed safely with no perioperative complications and acceptable chronic morbidity.--></abstract><cop>United States</cop><pub>American Medical Association</pub><pmid>9605917</pmid><doi>10.1001/archsurg.133.5.537</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0004-0010 |
| ispartof | Archives of surgery (Chicago. 1960), 1998-05, Vol.133 (5), p.537-540 |
| issn | 0004-0010 2168-6254 1538-3644 2168-6262 |
| language | eng |
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| source | MEDLINE; American Medical Association Journals; Alma/SFX Local Collection |
| subjects | Burns - mortality Burns - surgery Child, Preschool Female Humans Infant Male Retrospective Studies Tracheostomy - adverse effects Tracheostomy - methods |
| title | Tracheostomy in the Young Pediatric Burn Patient |
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