Tracheostomy in Children: Experience from a Tertiary Care Center in South India.

IF 1.5 Q3 CRITICAL CARE MEDICINE

Indian Journal of Critical Care Medicine Pub Date : 2025-07-01 Epub Date: 2025-07-07 DOI:10.5005/jp-journals-10071-25009

Seenivasan Subramani, Poovazhagi Varadarajan, Nisha Rangabashyam, Nirmakumar Jayaraman, Sarath Balaji, Jegan M Rajajeyavel

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Abstract

Background and aim: Data on tracheostomy in children are scarce in India. Hence, our study aimed to determine the indications, timing, complications, and outcomes of tracheostomy in a pediatric intensive care unit (PICU).

Patients and methods: We carried out a single-center ambispective study in children aged 1 month to 12 years undergoing tracheostomy in the PICU from February 2019 to April 2024. Data on age, gender, indications, complications, outcome, and follow-up of post-tracheostomy patients were collected and analyzed.

Results: One hundred and thirty-six patients underwent tracheostomy. Neurological illness (57.4%) was the reason for admission in the majority of children. Prolonged ventilation was the most common indication for tracheostomy (50%). The median (IQR) duration of ventilation before tracheostomy was 21 (14-27) days. The mean (SD) duration of weaning to "T piece" was 9.3 (7.8) days. Forty-six children died in the hospital due to primary illness and 4 (2.9%) tracheostomy-related deaths. Complications were observed in 58 (42.6%) children. Tracheal aspirate growth was observed in 58 (42.6%). Mothers were the primary caregivers in 127 (93.4%). The median (IQR) duration of PICU stay was 28 (20-43.5) days. Forty-nine (36%) children were decannulated.

Conclusion: Tracheostomy is a safe procedure in the PICU, and the mortality is mainly due to underlying illness.

How to cite this article: Subramani S, Varadarajan P, Rangabashyam N, Jayaraman N, Balaji S, Rajajeyavel JM. Tracheostomy in Children: Experience from a Tertiary Care Center in South India. Indian J Crit Care Med 2025;29(7):592-596.

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儿童气管切开术：来自南印度三级护理中心的经验。

背景和目的：印度儿童气管切开术的数据很少。因此，我们的研究旨在确定小儿重症监护病房（PICU）气管切开术的适应症、时机、并发症和结果。患者和方法：我们对2019年2月至2024年4月在PICU行气管切开术的1个月至12岁的儿童进行了单中心双视角研究。收集和分析气管切开术后患者的年龄、性别、适应证、并发症、结局和随访资料。结果：136例患者行气管切开术。大多数儿童入院的原因为神经系统疾病（57.4%）。延长通气是气管造口术最常见的指征（50%）。气管切开术前通气的中位（IQR）持续时间为21（14-27）天。断奶至“T片”的平均（SD）时间为9.3（7.8）天。46名儿童因原发疾病在医院死亡，4名（2.9%）因气管切开术死亡。58例（42.6%）患儿出现并发症。气管吸入生长58例（42.6%）。母亲是127名儿童的主要照顾者（93.4%）。PICU住院时间的中位数（IQR）为28（20-43.5）天。49例（36%）患儿停用脐带血。结论：气管切开术在重症监护病房是一种安全的手术，其死亡率主要由基础疾病引起。本文出处：Subramani S， Varadarajan P, Rangabashyam N, Jayaraman N, Balaji S, Rajajeyavel JM儿童气管切开术：来自南印度三级护理中心的经验。中华检验医学杂志；2015;29(7):592-596。

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来源期刊

Indian Journal of Critical Care Medicine CRITICAL CARE MEDICINE-

CiteScore

3.50

自引率

10.00%

发文量

299

期刊介绍： Indian Journal of Critical Care Medicine (ISSN 0972-5229) is specialty periodical published under the auspices of Indian Society of Critical Care Medicine. Journal encourages research, education and dissemination of knowledge in the fields of critical and emergency medicine.