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Decannulation protocol in pediatric patients: case series study.
de Miranda, Luciana Diniz Gomide; Borges, Luiza Araujo Alves; Zavaglia, Laura Caldeira; Mesquita, Tereza Cristina Lara; Leite, Luanna Rodrigues; Aguiar, Larissa Tavares; de Mendonça Picinin, Isabela Furtado.
Afiliação
  • de Miranda LDG; Fundação Hospitalar do Estado de Minas Gerais, Hospital Infantil João Paulo II, Serviço de Assistência Integral à Criança Traqueostomizada, Belo Horizonte, MG, Brazil.
  • Borges LAA; Faculdade de Ciências Médicas de Minas Gerais, Belo Horizonte, MG, Brazil.
  • Zavaglia LC; Faculdade de Ciências Médicas de Minas Gerais, Belo Horizonte, MG, Brazil.
  • Mesquita TCL; Fundação Hospitalar do Estado de Minas Gerais, Hospital Infantil João Paulo II, Serviço de Assistência Integral à Criança Traqueostomizada, Belo Horizonte, MG, Brazil.
  • Leite LR; Fundação Hospitalar do Estado de Minas Gerais, Hospital Infantil João Paulo II, Serviço de Assistência Integral à Criança Traqueostomizada, Belo Horizonte, MG, Brazil.
  • Aguiar LT; Faculdade de Ciências Médicas de Minas Gerais, Belo Horizonte, MG, Brazil.
  • de Mendonça Picinin IF; Fundação Hospitalar do Estado de Minas Gerais, Hospital Infantil João Paulo II, Serviço de Assistência Integral à Criança Traqueostomizada, Belo Horizonte, MG, Brazil.
Rev Paul Pediatr ; 43: e2023187, 2024.
Article em En | MEDLINE | ID: mdl-39319994
ABSTRACT

OBJECTIVE:

The aim of this study was to describe the phases of a decannulation protocol and the results from its application in hospitalized children.

METHODS:

This is a retrospective, observational study. Data were collected from medical records of decannulated patients followed up in a pediatric hospital in Belo Horizonte, Minas Gerais between 2011 and 2021.

RESULTS:

Among the children followed up in the service (n=526), 23% (n=120) were successfully decannulated. Children aged between 2 months and 16 years, with a mean age of 4 years, 69% of whom were male, were evaluated. About 75% of the patients have tracheostomy due to upper airway obstruction and 60% of these due to acquired subglottic stenosis. At the beginning of the decannulation protocol, 5.5% of the patients had moderate oropharyngeal dysphagia, while 80.4% had normal swallowing. Correction in the upper airway pre-decannulation was performed in 39.5% of the patients, dilation in 63.8%, and endoscopic correction was performed in 55.3%. After performing the decannulation, none of the patients had complications.

CONCLUSIONS:

The described decannulation protocol is safe, since no complications such as death and need for recannulation happened.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Traqueostomia / Remoção de Dispositivo Limite: Adolescent / Child / Child, preschool / Female / Humans / Infant / Male Idioma: En Revista: Rev Paul Pediatr Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Traqueostomia / Remoção de Dispositivo Limite: Adolescent / Child / Child, preschool / Female / Humans / Infant / Male Idioma: En Revista: Rev Paul Pediatr Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil