Tracheostomy among Children Admitted in the Pediatric Intensive Care Unit of a Tertiary Care Centre

Tracheostomy among Children Admitted in the Pediatric Intensive Care Unit of a Tertiary Care Centre

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Introduction: Tracheostomy is commonly performed for upper airway obstruction, prolonged mechanical ventilation and tracheo-bronchial toileting.Pediatric tracheostomy differs from adult tracheostomy in terms of surgical procedure, post-operative care and recovery.The tracheostomized patients may either be decannulated, discharged with tube-in-situ or the patient may expire.The aim of this study was to find out the prevalence of tracheostomy in patients admitted to the Pediatric intensive care unit of a here tertiary care centre.Methods: A descriptive cross-sectional study was performed among children admitted to the Pediatric intensive care unit of a tertiary care centre from 1 May 2017 to 31 August 2022 after obtaining ethical approval from the Institutional Review Committee.

A convenience sampling method was used.The point estimate was calculated at 95% Confidence Interval.Results: Among 1472 patients, tracheostomy was done in 65 (4.41%) la rams crop top (3.37-5.

47, 95% Confidence Interval).A total of 33 (50.76%) underwent tracheostomy for prolonged ventilation whereas 32 (49.23%) were tracheostomized for airway obstruction.Among them, 41 (63.

07%) patients were successfully decannulated, 9 (13.84%) were discharged with tracheostomy tubes in situ whereas 15 (23.07%) patients deceased.The most common complication was tracheostomy tube blockage reported in 5 (7.69%).

Conclusions: The prevalence of tracheostomy among the children of the pediatric intensive care unit was found to be lower than in other studies.