Pediatric tracheotomy

Abstract

Although the tracheotomy may be a life-sustaining vehicle for many critically ill children, it carries many significant risks and burdens. Mucous plugging or tracheotomy tube dislodgment may lead to cardiopulmonary arrest, anoxic brain injury, and even death. There are also significant delays in speech and language development. In addition, when a tracheotomy is performed in an infant, one can anticipate that it will remain in place for several years. Optimal home care and support will minimize the morbidity and mortality associated with pediatric tracheotomy. Newer technologies, including customized tracheotomies and alternatives to tracheotomy and traditional modes of ventilation, may be helpful in the future.