Hostname: page-component-848d4c4894-8kt4b Total loading time: 0 Render date: 2024-06-21T12:28:39.775Z Has data issue: false hasContentIssue false
  • English
  • Français

Changing indications for paediatric tracheostomy and the role of a multidisciplinary tracheostomy clinic

Published online by Cambridge University Press:  28 August 2015

M M C Yaneza ,
H P James ,
P Davies ,
S Harrison ,
L McAlorum ,
W A Clement  and
H Kubba
M M C Yaneza*
Affiliation:
Department of Otolaryngology, The Royal Hospital for Sick Children (Yorkhill), Glasgow, UK
H P James
Affiliation:
University of Glasgow Medical School, Glasgow University, Scotland, UK
P Davies
Affiliation:
Department of Paediatric Respiratory Medicine, The Royal Hospital for Sick Children (Yorkhill), Glasgow, UK
S Harrison
Affiliation:
Department of Otolaryngology, The Royal Hospital for Sick Children (Yorkhill), Glasgow, UK
L McAlorum
Affiliation:
Department of Speech and Language Therapy, The Royal Hospital for Sick Children (Yorkhill), Glasgow, UK
W A Clement
Affiliation:
Department of Otolaryngology, The Royal Hospital for Sick Children (Yorkhill), Glasgow, UK
H Kubba
Affiliation:
Department of Otolaryngology, The Royal Hospital for Sick Children (Yorkhill), Glasgow, UK
*
Address for correspondence: Miss M M C Yaneza c/o Mr Haytham Kubba, Department of Otolaryngology, The Royal Hospital for Sick Children, Yorkhill, Glasgow G3 8SJ, Scotland, UK Fax: 0141 201 0865 E-mail: maymcyaneza@doctors.org.uk
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

This paper presents our experience of managing children with a tracheostomy in a multidisciplinary team clinic consisting of an ENT consultant, paediatric respiratory consultant, a nurse specialist, and speech and language therapist.

Method:

A retrospective case note review was conducted of all children seen in the multidisciplinary team tracheostomy clinic (at a tertiary paediatric hospital) between February 2009 and September 2014.

Results:

Ninety-seven patients were examined. The most common indications for tracheostomy were: lower airway and respiratory problems (66 per cent), upper airway obstruction (64 per cent), and neurodevelopmental problems (60.8 per cent).

Conclusion:

Children with a tracheostomy are a diverse group of patients. The most common indications for paediatric tracheostomy have changed from infective causes to airway obstruction and anomalies, long-term ventilation requirement, and underlying neuromuscular or respiratory problems. Our unified approach empowers the carers and patient, as a home management plan, long-term plan and goals are generated at the end of each appointment.

Keywords

TracheostomyPediatricsOtolaryngologyPulmonary MedicineSpeech And Language Disorder RehabilitationClinical Nurse Specialist
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 129 , Issue 9 , September 2015 , pp. 882 - 886
Copyright
Copyright © JLO (1984) Limited 2015 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Newlands, WJ, McKerrow, WS. Paediatric tracheostomy. Fifty-seven operations on fifty-three children. J Laryngol Otol 1987;101:929–35CrossRefGoogle ScholarPubMed
2Hadfield, PJ, Lloyd-Faulconbridge, RV, Almeyda, J, Albert, DM, Bailey, CM. The changing indications for paediatric tracheostomy. Int J Pediatr Otorhinolaryngol 2003;67:7–10CrossRefGoogle ScholarPubMed
3Donnelly, MJ, Lacey, PD, Maguire, AJ. A twenty year (1971–1990) review of tracheostomies in a major paediatric hospital. Int J Pediatr Otorhinolaryngol 1996;35:1–9CrossRefGoogle Scholar
4Zenk, J, Fyrmpas, G, Zimmermann, T, Koch, M, Constantinidis, J, Iro, H. Tracheostomy in young patients: indications and long-term outcome. Eur Arch Otorhinolaryngol 2009;266:705–11CrossRefGoogle ScholarPubMed
5Cetto, R, Arora, A, Hettige, R, Nel, M, Benjamin, L, Gomez, CM et al. Improving tracheostomy care: a prospective study of the multidisciplinary approach. Clin Otolaryngol 2011;36:482–8CrossRefGoogle Scholar
6Garrubba, M, Turner, T, Grieveson, C. Multidisciplinary care for tracheostomy patients: a systematic review. Crit Care 2009;13:R177CrossRefGoogle ScholarPubMed
7Yu, M. Tracheostomy patients on the ward: multiple benefits from a multidisciplinary team? Crit Care 2010;14:109CrossRefGoogle ScholarPubMed