Indication-Based Planning for Tracheostomy in Pediatric Intensive Care Units: A Comprehensive Approach.

IF 1 4区医学 Q3 SURGERY

Journal of Craniofacial Surgery Pub Date : 2025-07-15 DOI:10.1097/SCS.0000000000011660

Recep Gokce, Serkan Dedeoglu, Tayyar Kilinç, Serhat Samanci, Günay Kozan, Serdar Ferit Toprak

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引用次数: 0

Abstract

Background: Tracheostomy in pediatric intensive care units (PICU) is an important procedure that has become increasingly common in the last decade, reflecting advances in neonatal and pediatric intensive care.

Methods: Main clinical diagnoses were grouped according to the organ system involved. Indications for tracheostomy were defined as the main reason for performing a tracheostomy. Patients were categorized into 4 categories according to the indications for tracheostomy. Namely, airway anomalies (AA), central nervous system (CNS) diseases, cardiopulmonary insufficiency (CPI), and neuromuscular diseases (NMD).

Results: Nontraumatic neurological diseases were present in 30 patients (43.4%), genetic or metabolic diseases in 15 (21.7%), infection and sepsis in 9 (13%), malignancy in 6 (8.6%), cardiorespiratory disorders in 5 (7.2%), and trauma in 4 (5.7%). In group analysis, there was no difference in the frequency of early and late problems between newborns and older children.

Conclusion: The timing of tracheostomy in the PICU is an important factor that has a significant impact on patient outcomes. The available literature provides valuable insight into the potential benefits of early tracheostomy in improving outcomes in critically ill pediatric patients.

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儿童重症监护病房气管切开术的适应症规划：一种综合方法。

背景：小儿重症监护病房（PICU）气管切开术是一项重要的手术，在过去十年中变得越来越普遍，反映了新生儿和儿科重症监护的进步。方法：根据累及的脏器系统对主要临床诊断进行分组。气管切开术的指征被定义为进行气管切开术的主要原因。根据气管切开术指征将患者分为4类。即气道异常（AA）、中枢神经系统（CNS）疾病、心肺功能不全（CPI）和神经肌肉疾病（NMD）。结果：非创伤性神经系统疾病30例（43.4%），遗传或代谢性疾病15例（21.7%），感染和败血症9例（13%），恶性肿瘤6例（8.6%），心肺疾病5例（7.2%），创伤4例（5.7%）。在分组分析中，新生儿和年龄较大的儿童在早期和晚期问题的频率上没有差异。结论：PICU气管切开术时机是影响患者预后的重要因素。现有文献为早期气管切开术在改善危重儿科患者预后方面的潜在益处提供了有价值的见解。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Craniofacial Surgery 医学-外科

CiteScore

1.70

自引率

11.10%

发文量

968

审稿时长

1.5 months

期刊介绍： The Journal of Craniofacial Surgery serves as a forum of communication for all those involved in craniofacial surgery, maxillofacial surgery and pediatric plastic surgery. Coverage ranges from practical aspects of craniofacial surgery to the basic science that underlies surgical practice. The journal publishes original articles, scientific reviews, editorials and invited commentary, abstracts and selected articles from international journals, and occasional international bibliographies in craniofacial surgery.