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Use of temporary tracheostomy occlusion to reduce the risk of sternal wound infection after sternotomy in congenital cardiac surgery.
Azimzadeh, Julien B; Sidell, Douglas R; Balakrishnan, Karthik; Mathew, Roshni; Asija, Ritu; Rutter, Michael J; Meister, Kara D.
Afiliación
  • Azimzadeh JB; Department of Otolaryngology-Head and Neck Surgery, Stanford University, Palo Alto, CA, USA.
  • Sidell DR; Department of Otolaryngology-Head and Neck Surgery, Stanford University, Palo Alto, CA, USA.
  • Balakrishnan K; Department of Otolaryngology-Head and Neck Surgery, Stanford University, Palo Alto, CA, USA.
  • Mathew R; Department of Pediatric Infectious Diseases, Stanford University, Palo Alto, CA, USA.
  • Asija R; Department of Pediatric Cardiology, Stanford University, Palo Alto, CA, USA.
  • Rutter MJ; Department of Otolaryngology - Head and Neck Surgery, University of Cincinnati, Cincinnati, OH, USA.
  • Meister KD; Department of Otolaryngology-Head and Neck Surgery, Stanford University, Palo Alto, CA, USA.
Cardiol Young ; 34(7): 1439-1444, 2024 Jul.
Article en En | MEDLINE | ID: mdl-38410052
ABSTRACT

OBJECTIVE:

To describe a method of reducing the risk of sternal wound infection after sternotomy in children with a pre-existing tracheostomy. To report our outcomes using this method from 1 January, 2013 to 31 August, 2023.

METHODS:

We describe a method for temporarily occluding the tracheal stoma with a removable implant with the primary goal of reducing the risk of sternotomy wound infection by preventing soilage due to tracheostomal secretions. We then performed a retrospective review of all children who underwent temporary tracheostomal occlusion between 1 January, 2013 and 31 August, 2023 at our quaternary care children's hospital. Clinical variables were extracted from the hospital medical records. The rates of antibiotic use and minor and major complications during the period when the stoma plug was in place were recorded.

RESULTS:

Totally, 19 patients underwent tracheal stoma plugging prior to sternotomy and were included in our analysis. There were two cases of sternal wound infection; one case occurred while the stoma plug was in place, and one developed four days following plug removal. There was one minor complication, with one patient requiring stoma revision via serial dilation at bedside at the time of recannulation. There were no deaths.

CONCLUSION:

Temporary occlusion of the tracheal stoma with an impermeable plug is a viable option for reducing the risk of sternal wound infection in children with a pre-existing tracheostomy who are undergoing sternotomy.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infección de la Herida Quirúrgica / Traqueostomía / Esternotomía / Cardiopatías Congénitas / Procedimientos Quirúrgicos Cardíacos Límite: Child / Child, preschool / Female / Humans / Infant / Male Idioma: En Revista: Cardiol Young Asunto de la revista: ANGIOLOGIA / CARDIOLOGIA / PEDIATRIA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infección de la Herida Quirúrgica / Traqueostomía / Esternotomía / Cardiopatías Congénitas / Procedimientos Quirúrgicos Cardíacos Límite: Child / Child, preschool / Female / Humans / Infant / Male Idioma: En Revista: Cardiol Young Asunto de la revista: ANGIOLOGIA / CARDIOLOGIA / PEDIATRIA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido