imagem top

2019

ANUÁRIO DO HOSPITAL
DONA ESTEFÂNIA

CHULC LOGOlogo HDElogo anuario

PEDIATRIC TRACHEOTOMY: 8-YEAR EXPERIENCE AT A PORTUGUESE PEDIATRIC TERTIARY CARE CENTER WITH 57 CHILDREN

Guedes Damaso 1, Inês Cunha1, Inês Moreira1, José Colaço1, Carla Moreira1, Herédio Sousa1, Ezequiel Barros1

1. Serviço de Otorrinolaringologia, Hospital Dona Estefânia, Centro Hospitalar de Lisboa Central, EPE, Lisboa;

- 13th Congress of European Society of Pediatric Otorhinolaryngology, 18-21 de Junho de 2016, Lisboa (poster)

Objectives: We the aim of this study was to evaluate the indications, complications and outcomes of pediatric tracheotomy at a Portuguese pediatric tertiary care center.
Methods: Female, the medical records of all patients who underwent tracheotomy at a Portuguese pediatric tertiary care center between January 2008 and December 2015 were reviewed retrospectively. We evaluated age, sex, indication for tracheotomy, complications and decannulation rate.
Results: During the 8-year period, 57 tracheotomies were performed. Full data was available for all patients. Thirty-three patients (58%) were males and twenty-four (42%) were females. Age at the time of tracheotomy ranged from 10 days to 16 years (average of 29 weeks), with the majority of patients, thirty-five (61%), being under one year-old. Long-term ventilation was the most common indication with 33 cases (58%). Thirteen patients (22,8%) died of non-related tracheotomy causes and one patient (1,8%) died from an early complication due to accidental decannulation, leading us to change the tracheotomy protocol during the year 2008. The most frequent late complications were suprastomal granuloma (5 cases - 8,8%) followed by tracheitis (3 cases - 5,3%). Fifteen patients (26.3%) were decannulated successfully, while nine others (15.8%) are in decannulation process.
Conclusion: Our series reflects the current trend of prolonged ventilation as the main indication for performing a pediatric tracheotomy. This is a safe procedure as long as the protocol is followed.The lower decannulation rate relates to the high percentage of patients needing assisted ventilation and also because the short follow-up period.

Palavras-chave: pediatric tracheotomy