Reducing pediatric tracheostomy wound complications: An evidence-based literature review

Lindsay R. Baker, Stephen R. Chorney

Research output: Contribution to journalReview articlepeer-review

6 Scopus citations


OBJECTIVE: To discuss prevention strategies that can mitigate the frequency of tracheostomy-related wound complications. DATA SOURCES: A systematic literature review of PubMed between 2010 and 2019. STUDY SELECTION: Full-text articles written in English language and studying human participants younger than 18 years. DATA EXTRACTION: The primary outcome was the rate of tracheostomy-related skin complications after implementation of a given intervention. Secondary outcomes included rates of accidental decannulation or other complications. DATA SYNTHESIS: A total of 348 studies were identified and 6 met inclusion criteria. There were 1,607 children included with interventions designed to reduce peristomal and cervical wound complications in 1,174 (73.1%). Strategies considered safe and effective included protective skin barriers, reducing prolonged pressure, and early wound identification protocols. CONCLUSIONS: Wound complications after pediatric tracheostomy can be reduced using a multifaceted approach by providers committed to making skin care a priority.

Original languageEnglish (US)
Pages (from-to)324-328
Number of pages5
JournalAdvances in Skin and Wound Care
Issue number6
StatePublished - Jun 1 2020
Externally publishedYes


  • Barriers
  • Breakdown
  • Pediatrics
  • Pressure
  • Skin
  • Tracheostomy
  • Wound care
  • Wound complications

ASJC Scopus subject areas

  • Dermatology
  • Advanced and Specialized Nursing


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