Pediatric Tracheostomy Tube Decannulation With or Without Polysomnography: A PRO‐CON debate

2021 ◽  
Author(s):  
Lena Xiao ◽  
Reshma Amin ◽  
Kimberley Kaspy ◽  
David Zielinski
Keyword(s):  
Tracheostomy Tube

Passy-Muir Speaking Valve Use in a Children's Hospital: An Interdisciplinary Approach

2008 ◽  
Vol 18 (2) ◽  
pp. 76-86 ◽  
Author(s):  
Lauren Hofmann ◽  
Joseph Bolton ◽  
Susan Ferry
Keyword(s):  
Tracheostomy Tube ◽  
Pediatric Population ◽  
Interdisciplinary Approach ◽  
Extended Period ◽  
Speech Development ◽  
Tube Placement ◽  
Background Information ◽  
Speaking Valve ◽  
Children's Hospital ◽  
Children’S Hospital

Abstract At The Children's Hospital of Philadelphia (CHOP) we treat many children requiring tracheostomy tube placement. With potential for a tracheostomy tube to be in place for an extended period of time, these children may be at risk for long-term disruption to normal speech development. As such, speaking valves that restore more normal phonation are often key tools in the effort to restore speech and promote more typical language development in this population. However, successful use of speaking valves is frequently more challenging with infant and pediatric patients than with adult patients. The purpose of this article is to review background information related to speaking valves, the indications for one-way valve use, criteria for candidacy, and the benefits of using speaking valves in the pediatric population. This review will emphasize the importance of interdisciplinary collaboration from the perspectives of speech-language pathology and respiratory therapy. Along with the background information, we will present current practices and a case study to illustrate a safe and systematic approach to speaking valve implementation based upon our experiences.

Experimental Study of Spiral-reinforced Pediatric Silicone Tracheostomy Tube

2015 ◽  
Vol 66 (6) ◽  
pp. 400-405
Author(s):  
Sunao Tanaka ◽  
Shigeru Kikuchi ◽  
Atushi Ohata ◽  
Masafumi Ohki
Keyword(s):  
Experimental Study ◽  
Tracheostomy Tube

Tension Hemothorax Secondary to Percutaneous Dilational Tracheostomy Tube Placement

2020 ◽  
Vol 27 (1) ◽  
pp. e3-e5
Author(s):  
Aibek E. Mirrakhimov ◽  
Brandon Murguia ◽  
Michelle Harkins
Keyword(s):  
Tracheostomy Tube ◽  
Tube Placement ◽  
Percutaneous Dilational Tracheostomy

Respiratory Muscle Dysfunction Secondary to Chronic Tracheostomy Tube Placement

CHEST Journal ◽  
1987 ◽  
Vol 91 (1) ◽  
pp. 139-141 ◽  
Author(s):  
Gerard Criner ◽  
Barry Make ◽  
Bartolome Celli
Keyword(s):  
Tracheostomy Tube ◽  
Respiratory Muscle ◽  
Tube Placement ◽  
Muscle Dysfunction

Intensive Careof a Dog with a Tracheostomy Tube

2000 ◽  
Vol 15 (5) ◽  
pp. 196-200
Author(s):  
Catherine Goulding
Keyword(s):  
Tracheostomy Tube

scholarly journals Removal of the tracheostomy tube in the aspirating spinal cord-injured patient

Spinal Cord ◽  
2003 ◽  
Vol 41 (11) ◽  
pp. 636-642 ◽  
Author(s):  
J Ross ◽  
M White
Keyword(s):  
Spinal Cord ◽  
Tracheostomy Tube ◽  
Injured Patient ◽  
Spinal Cord Injured Patient ◽  
Spinal Cord Injured

Evaluation of a teaching tool to increase the accuracy of pilot balloon palpation for measuring tracheostomy tube cuff pressure

2013 ◽  
Vol 123 (8) ◽  
pp. 1884-1888 ◽  
Author(s):  
Nancy Jiang ◽  
Anthony G. Del Signore ◽  
Alfred M. Iloreta ◽  
Benjamin D. Malkin
Keyword(s):  
Tracheostomy Tube ◽  
Cuff Pressure ◽  
Teaching Tool ◽  
Tube Cuff ◽  
Pilot Balloon

Should pulmonary radiographs be taken routinely following paediatric tracheostomy?

2021 ◽  
pp. 021849232110063
Author(s):  
Nazik Yener ◽  
Muhammed Üdürgücü ◽  
Fatma Alaçam ◽  
Muhammed Şükrü Paksu ◽  
İrem Sarı ◽  
...  
Keyword(s):  
High Risk ◽  
Tracheostomy Tube ◽  
Risk Groups ◽  
Age Group ◽  
Paediatric Radiology ◽  
Surgical Tracheostomy ◽  
Emergency Tracheostomy ◽  
New Findings ◽  
Paediatric Age ◽  
Study Support

Aim As the rates of complications related to tracheostomy procedures have fallen in recent years, the routine taking of pulmonary radiographs following tracheostomy has become a matter of debate. The aim of this study was to compare the incidence of complications developing in 120 children who had pulmonary radiographs taken following surgical tracheostomy and to thereby evaluate the necessity of routine pulmonary radiographs after tracheostomy. Methods The data were retrospectively reviewed of 120 children who had pulmonary radiographs taken following surgical tracheostomy between January 2012 and January 2018. The pulmonary radiographs taken before and immediately after tracheostomy were evaluated independently by two paediatric radiology specialists and the results were recorded. Results The incidence of complications after tracheostomy was determined as 23.3%, and no pneumothorax was determined in any patient. An increase was not seen in the complication incidence in those who had undergone emergency tracheostomy and patients aged < 2 years, which are accepted as high-risk groups. In the evaluation of the pre- and post-tracheostomy radiographs, new findings were determined on the post-tracheostomy radiograph that had not been there previously in eight patients (6.6%). These findings were newly formed infiltration in seven patients (5.8%), and malposition of the tracheostomy tube in one patient (0.8%). No pathology requiring intervention was determined on the radiographs of any patient. Conclusion The results of this study support the view that it is not necessary to take pulmonary radiographs routinely following tracheostomy in the paediatric age group, including those at higher risk.

TRACHEOSTOMY TUBE OCCLUSION PROTOCOL PREDICTS SUCCESSFUL TRACHEAL DECANNULATION FOLLOWING LONG TERM MECHANICAL VENTILATION.

1995 ◽  
Vol 23 (Supplement) ◽  
pp. A118
Author(s):  
Arthur Graves ◽  
Mark Scott ◽  
Gary Sporn ◽  
Mark Rumbak ◽  
Frank Walsh ◽  
...  
Keyword(s):  
Mechanical Ventilation ◽  
Tracheostomy Tube

Endobronchial Ultrasound Bronchoscope Insertion Through a Flexible Tracheostomy Tube: A Novel Approach to Perform EBUS in Patients With Closed Upper Airway

CHEST Journal ◽  
2014 ◽  
Vol 146 (4) ◽  
pp. 799A
Author(s):  
Bilal Jalil ◽  
Fuzail Ahmad Abdur Rahman ◽  
Ali Saeed
Keyword(s):  
Tracheostomy Tube ◽  
Upper Airway ◽  
Endobronchial Ultrasound ◽  
Novel Approach
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