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Evidence · Systematic review or meta-analysis

Complications of tracheostomy in children: a systematic review.

Systematic review or meta-analysisBrazilian Journal of Otorhinolaryngology2022Full text
  • Airway
  • Line and device care
  • Medical
  • Nursing
  • Physiotherapy
  • Respiratory
  • Tracheostomy

Summary

A systematic review of 49 studies describing complications of tracheostomy in children up to 18 years, spanning intraoperative, early and late postoperative periods. Complication rates averaged around 40%, associated with age, birth weight, prematurity, comorbidities and emergency procedures, with skin lesions and granulomas most frequent. Procedure-related mortality was low but tube obstruction and accidental decannulation were the leading contributors, underlining the importance of airway emergency preparedness and device care in PICU.

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