! ORL via Alexandros G.Sfakianakis on Inoreader: Changing indications for paediatric tracheostomy and the role of a multidisciplinary tracheostomy clinic.

! ORL via Alexandros G.Sfakianakis on Inoreader

Changing indications for paediatric tracheostomy and the role of a multidisciplinary tracheostomy clinic. Sep 1st 2015, 11:06, by Yaneza MM, James HP, Davies P, Harrison S, McAlorum L, Clement WA, Kubba H Related Articles Changing indications for paediatric tracheostomy and the role of a multidisciplinary tracheostomy clinic. J Laryngol Otol. 2015 Sep;129(9):882-6 Authors: Yaneza MM, James HP, Davies P, Harrison S, McAlorum L, Clement WA, Kubba H 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. PMID: 26314322 [PubMed - in process]

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