Complications of neonatal tracheostomy: A 5-year review

Kevin D. Pereira; Allison R. MacGregor; Ron B. Mitchell

doi:10.1016/j.otohns.2004.07.009

Complications of neonatal tracheostomy: A 5-year review

Kevin D. Pereira, Allison R. MacGregor, Ron B. Mitchell

Research output: Contribution to journal › Article › peer-review

62 Scopus citations

Abstract

Study the complication rate of tracheostomy in premature infants and identify contributing factors. Two university-based tertiary care children's hospitals. The charts of 55 neonates who underwent tracheostomy between January 1997 and December 2002 were reviewed. Group 1 included 32 infants born weighing < 1000 grams. Group 2 included 23 infants born weighing < 1000 grams. Group 1 infants had a higher incidence of comorbidities related to prematurity. Thirty-eight infants underwent tracheostomy due to ventilatory dependence, 13 for airway obstruction, and 4 for neurologic debilitation. Sixteen infants (29%) had a complication related to tracheostomy. There was no tracheostomy-related mortality. Tracheostomy in the preterm infant has the potential for significant morbidity. Meticulous technique, surgeon experience and specialized care may play a role in reducing the complication rate. Complications are usually minor and do not require additional surgical intervention. EBM rating: C.

Original language	English (US)
Pages (from-to)	810-813
Number of pages	4
Journal	Otolaryngology - Head and Neck Surgery
Volume	131
Issue number	6
DOIs	https://doi.org/10.1016/j.otohns.2004.07.009
State	Published - Dec 2004

ASJC Scopus subject areas

Surgery
Otorhinolaryngology

Access to Document

10.1016/j.otohns.2004.07.009

Cite this

@article{846b41217896406b9b142e269237c793,

title = "Complications of neonatal tracheostomy: A 5-year review",

abstract = "Study the complication rate of tracheostomy in premature infants and identify contributing factors. Two university-based tertiary care children's hospitals. The charts of 55 neonates who underwent tracheostomy between January 1997 and December 2002 were reviewed. Group 1 included 32 infants born weighing < 1000 grams. Group 2 included 23 infants born weighing < 1000 grams. Group 1 infants had a higher incidence of comorbidities related to prematurity. Thirty-eight infants underwent tracheostomy due to ventilatory dependence, 13 for airway obstruction, and 4 for neurologic debilitation. Sixteen infants (29%) had a complication related to tracheostomy. There was no tracheostomy-related mortality. Tracheostomy in the preterm infant has the potential for significant morbidity. Meticulous technique, surgeon experience and specialized care may play a role in reducing the complication rate. Complications are usually minor and do not require additional surgical intervention. EBM rating: C.",

author = "Pereira, {Kevin D.} and MacGregor, {Allison R.} and Mitchell, {Ron B.}",

year = "2004",

month = dec,

doi = "10.1016/j.otohns.2004.07.009",

language = "English (US)",

volume = "131",

pages = "810--813",

journal = "Otolaryngology - Head and Neck Surgery",

issn = "0194-5998",

publisher = "Mosby Inc.",

number = "6",

}

TY - JOUR

T1 - Complications of neonatal tracheostomy

T2 - A 5-year review

AU - Pereira, Kevin D.

AU - MacGregor, Allison R.

AU - Mitchell, Ron B.

PY - 2004/12

Y1 - 2004/12

N2 - Study the complication rate of tracheostomy in premature infants and identify contributing factors. Two university-based tertiary care children's hospitals. The charts of 55 neonates who underwent tracheostomy between January 1997 and December 2002 were reviewed. Group 1 included 32 infants born weighing < 1000 grams. Group 2 included 23 infants born weighing < 1000 grams. Group 1 infants had a higher incidence of comorbidities related to prematurity. Thirty-eight infants underwent tracheostomy due to ventilatory dependence, 13 for airway obstruction, and 4 for neurologic debilitation. Sixteen infants (29%) had a complication related to tracheostomy. There was no tracheostomy-related mortality. Tracheostomy in the preterm infant has the potential for significant morbidity. Meticulous technique, surgeon experience and specialized care may play a role in reducing the complication rate. Complications are usually minor and do not require additional surgical intervention. EBM rating: C.

AB - Study the complication rate of tracheostomy in premature infants and identify contributing factors. Two university-based tertiary care children's hospitals. The charts of 55 neonates who underwent tracheostomy between January 1997 and December 2002 were reviewed. Group 1 included 32 infants born weighing < 1000 grams. Group 2 included 23 infants born weighing < 1000 grams. Group 1 infants had a higher incidence of comorbidities related to prematurity. Thirty-eight infants underwent tracheostomy due to ventilatory dependence, 13 for airway obstruction, and 4 for neurologic debilitation. Sixteen infants (29%) had a complication related to tracheostomy. There was no tracheostomy-related mortality. Tracheostomy in the preterm infant has the potential for significant morbidity. Meticulous technique, surgeon experience and specialized care may play a role in reducing the complication rate. Complications are usually minor and do not require additional surgical intervention. EBM rating: C.

UR - http://www.scopus.com/inward/record.url?scp=9644263981&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=9644263981&partnerID=8YFLogxK

U2 - 10.1016/j.otohns.2004.07.009

DO - 10.1016/j.otohns.2004.07.009

M3 - Article

C2 - 15577773

AN - SCOPUS:9644263981

SN - 0194-5998

VL - 131

SP - 810

EP - 813

JO - Otolaryngology - Head and Neck Surgery

JF - Otolaryngology - Head and Neck Surgery

IS - 6

ER -

Complications of neonatal tracheostomy: A 5-year review

Abstract

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this