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Review
. 2020 Dec;28(6):425-429.
doi: 10.1097/MOO.0000000000000666.

Pediatric tracheostomy care updates

Matthew M Smith  1   2   3 , Dan Benscoter  4   2   5 , Catherine K Hart  1   2   3
Affiliations
Review

Pediatric tracheostomy care updates

Matthew M Smith et al. Curr Opin Otolaryngol Head Neck Surg. 2020 Dec.

Abstract

Purpose of review: The aim of this review is to provide an update on the management of pediatric tracheostomies.

Recent findings: Recent literature has focused on optimization of care for children with tracheostomies including prevention and management of skin breakdown, timing of tracheostomy tube changes, the role of multidisciplinary and team-based approaches to education and management of tracheostomy patients, ideal timing of surveillance endoscopy, and the emerging role of telemedicine in the care of tracheostomy patients.

Summary: A focus on quality improvement and a systematic, team-based approach to care has the potential to improve the quality of care for pediatric tracheostomy patients.

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References

    1. Muller RG, Mamidala MP, Smith SH, et al. Incidence, epidemiology, and outcomes of pediatric tracheostomy in the United States from 2000 to 2012. Otolaryngol Head Neck Surg 2019; 160:332–338.
    1. Jaryszak EM, Shah RK, Amling J, Peña MT. Pediatric tracheotomy wound complications: incidence and significance. Arch Otolaryngol Head Neck Surg 2011; 137:363–366.
    1. Baker LR, Chorney SR. Reducing pediatric tracheostomy wound complications: an evidence-based literature review. Adv Skin Wound Care 2020; 33:324–328.
    1. Kuo CY, Wootten CT, Tylor DA, et al. Prevention of pressure ulcers after pediatric tracheotomy using a Mepilex Ag dressing. Laryngoscope 2013; 123:3201–3205.
    1. Boesch RP, Myers C, Garrett T, et al. Prevention of tracheostomy-related pressure ulcers in children. Pediatrics 2012; 129:e792–e797.

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