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1 results

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

  • M M C Yaneza, H P James, P Davies, S Harrison, L McAlorum, W A Clement, H Kubba
  • Journal:
    The Journal of Laryngology & Otology / Volume 129 / Issue 9 / September 2015
    Published online by Cambridge University Press:
    28 August 2015, pp. 882-886
    Print publication:
    September 2015
  • 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.