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Changing indications for paediatric tracheostomy and the role of a multidisciplinary tracheostomy clinic

Published online by Cambridge University Press:  28 August 2015

M M C Yaneza ,
H P James ,
P Davies ,
S Harrison ,
L McAlorum ,
W A Clement  and
H Kubba
M M C Yaneza*
Affiliation:
Department of Otolaryngology, The Royal Hospital for Sick Children (Yorkhill), Glasgow, UK
H P James
Affiliation:
University of Glasgow Medical School, Glasgow University, Scotland, UK
P Davies
Affiliation:
Department of Paediatric Respiratory Medicine, The Royal Hospital for Sick Children (Yorkhill), Glasgow, UK
S Harrison
Affiliation:
Department of Otolaryngology, The Royal Hospital for Sick Children (Yorkhill), Glasgow, UK
L McAlorum
Affiliation:
Department of Speech and Language Therapy, The Royal Hospital for Sick Children (Yorkhill), Glasgow, UK
W A Clement
Affiliation:
Department of Otolaryngology, The Royal Hospital for Sick Children (Yorkhill), Glasgow, UK
H Kubba
Affiliation:
Department of Otolaryngology, The Royal Hospital for Sick Children (Yorkhill), Glasgow, UK
*
Address for correspondence: Miss M M C Yaneza c/o Mr Haytham Kubba, Department of Otolaryngology, The Royal Hospital for Sick Children, Yorkhill, Glasgow G3 8SJ, Scotland, UK Fax: 0141 201 0865 E-mail: [email protected]
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Abstract

Objective:

This paper presents our experience of managing children with a tracheostomy in a multidisciplinary team clinic consisting of an ENT consultant, paediatric respiratory consultant, a nurse specialist, and speech and language therapist.

Method:

A retrospective case note review was conducted of all children seen in the multidisciplinary team tracheostomy clinic (at a tertiary paediatric hospital) between February 2009 and September 2014.

Results:

Ninety-seven patients were examined. The most common indications for tracheostomy were: lower airway and respiratory problems (66 per cent), upper airway obstruction (64 per cent), and neurodevelopmental problems (60.8 per cent).

Conclusion:

Children with a tracheostomy are a diverse group of patients. The most common indications for paediatric tracheostomy have changed from infective causes to airway obstruction and anomalies, long-term ventilation requirement, and underlying neuromuscular or respiratory problems. Our unified approach empowers the carers and patient, as a home management plan, long-term plan and goals are generated at the end of each appointment.

Keywords

TracheostomyPediatricsOtolaryngologyPulmonary MedicineSpeech And Language Disorder RehabilitationClinical Nurse Specialist
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 129 , Issue 9 , September 2015 , pp. 882 - 886
Copyright
Copyright © JLO (1984) Limited 2015 

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