Indications and outcome of pediatric tracheostomy: results from a Nigerian tertiary hospital

BMC Surgery

Research Article

Nuhu D Ma'an¹  Adeyi A Adoga¹ 

[1] Otorhinolaryngology unit, Department of Surgery, Jos University Teaching Hospital, PMB 2076, Jos, Plateau State, Nigeria;

关键词: Airway Obstruction;    Laryngeal Mask Airway;    Road Traffic Accident;    Tracheostomy Tube;    Percutaneous Dilatational Tracheostomy;   

DOI  :  10.1186/1471-2482-10-2

 received in 2009-05-06, accepted in 2010-01-12,  发布年份 2010

来源: Springer

【 摘 要 】

BackgroundThere is a change in the concept of pediatric tracheostomy. This study investigates the indications and outcomes of pediatric tracheostomy in a Nigerian teaching hospital finding out whether there is also a change in the trend in our environment as compared to other centers.MethodsA retrospective chart review of 46 patients aged between 2 months and 15 years who presented to our Otorhinolaryngological facility and had tracheostomy between January 2000 and December 2008.ResultsThe age range was 2 months to 15 years. There were 29 males and 17 females. Thirty two (69.6%) patients were in the age range 6-10 years. Forty tracheostomies (87%) were performed as emergency while 6 (13%) as elective procedures. The commonest indication for tracheostomy was upper airway obstruction (n = 29, 63%). Transverse skin incision was employed in all the cases. No intra-operative complication was recorded. The post-operative complication rate was 15.2%. The duration of tracheostomy ranged from 5 days to 3 months. All the patients were successfully decannulated. The overall mortality was 8 (17.4%). There was no tracheostomy related mortality.ConclusionsThere is no increase in the incidence of tracheostomy in patients under 1 year of age and the commonest indication for the procedure in Nigeria has remained relief of upper airway obstruction. Pediatric tracheostomy is safe when performed in the tertiary hospital setting.

【 授权许可】

CC BY   
© Adoga and Ma'an; licensee BioMed Central Ltd. 2010