Abstract
Amaç: Trakeotomi, antik çağlara dayanan hayat kurtaran bir uygulamadır. Pediatrik trakeotominin endikasyonları son kırk yılda çok değişmiştir. 1970’li yıllarda, trakeotominin en sık endikasyonları akut inflamatuvar hava yolu obstrüksiyonudur. Son yıllarda H. İnfluenza ve C. Difteria karşı aşıların geliştirilmesi ve yoğun bakım olanaklarının artması sonucu enfeksiyöz nedenli trakeotomi sayıları azalmıştır. Trakeotomi işlemi yetişkinlere göre çocuklarda daha risklidir. Çalışmada, çocuk yoğun bakımda trakeotomi açılan hastaların endikasyon, komplikasyon ve tecrübelerimizin aktarılması amaçlanmıştır.Gereç ve Yöntemler: Çalışmada Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesinde 2009-2015 yılları arasında trakeotomi prosedürü uygulanan hastaların retrospektif analizi yapıldı. Hastaların trakeotomi endikasyon sebebi, ek hastalıkları, erken ve geç komplikasyonları ve hastanede kalış süreleri tarandı.Bulgular: Çalışmaya 27 (%64) erkek, 15 (%36) kadın olmak üzere 47 hasta dahil edildi. Trakeotomi endikasyonu % 97 oranında uzamış entübasyon olarak bulundu. Komplikasyon oranı erken dönemde % 23, geç dönemde % 14 olarak ortaya çıktı. Trakeotomi kaynaklı ölüm bizim serimizde gerçekleşmedi. Hastanede kalış süresi ortalaması 55 gündü.Sonuç: Trakeotomi endikasyonları son yıllarda enfeksiyöz sebeplerden uzamış entübasyon tarafına kaymıştır. Trakeotomi pediatrik yaşlarda riskli bir uygulama olmasına rağmen güvenli ve hayati bir işlemdir.
Keywords
References
- Dulguerov P, Gysin C, Perneger TV, Chevrolet JC. Percutaneous or surgical tracheostomy: A meta-analysis. Crit Care Med 1999; 27:1617-25.
- Funamura JL, Durbin‐Johnson B, Tollefson TT, Harrison J, Senders CW. Pediatric tracheotomy: Indications and decannulation outcomes. Laryngoscope 2014;124:1952-8.
Abstract
Objective: Tracheotomy is a life-saving procedure used since ancient times. Indications of pediatric tracheotomy have changed a lot in the last 40 years. During the 1970s, the most common indication of tracheotomy was acute inflammatory airway obstruction. The number of tracheotomies induced by infection has decreased because of the development of vaccines against H. influenzae and C. diphtheriae and the increased possibility of intensive care use. The tracheotomy operation in children is more hazardous than in adults. The aim of this study was to the evaluate indications and complications of tracheotomy and our experience in the pediatric intensive care unit.Material and Methods: A retrospective analysis of patients who underwent tracheotomy between 2009-2015 at the medical faculty of Kahramanmaras Sütcü Imam University was performed in this study. Patient records were reviewed for indications, additional diseases, early and late complications, and hospitalization time.results: 42 patients were enrolled in the study, including 15 women (36%) and 27 men (64%). Tracheotomy indications were prolonged intubation in 97 %. The early complication rate emerged as 23% and the late complication rate as 14%. Tracheotomy-related death did not occur in our series. The mean duration of hospitalization was 55 days.conclusion: Indications of tracheostomy has shifted to prolonged intubation from infectious causes in recent years. Tracheotomy is a safe and vital process although it is a risky practice in the pediatric population
Keywords
References
- Dulguerov P, Gysin C, Perneger TV, Chevrolet JC. Percutaneous or surgical tracheostomy: A meta-analysis. Crit Care Med 1999; 27:1617-25.
- Funamura JL, Durbin‐Johnson B, Tollefson TT, Harrison J, Senders CW. Pediatric tracheotomy: Indications and decannulation outcomes. Laryngoscope 2014;124:1952-8.
Details
| Other ID | JA84MG52EC |
|---|---|
| Journal Section | Research Article |
| Authors | |
| Publication Date | August 1, 2017 |
| Submission Date | August 1, 2017 |
| Published in Issue | Year 2017 Volume: 11 Issue: 3 |
The publication language of Turkish Journal of Pediatric Disease is English.
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