TY  - JOUR
T1  - TRacheostomy in the young pediatric burn patient
AU  - Coln C, Purdue GF, Hunt JL
Y1  - 1998/05/01
N1  - 10.1001/archsurg.133.5.537
JO  - Archives of Surgery
SP  - 537
EP  - 540
VL  - 133
IS  - 5
N2  - Objective 
    To evaluate the incidence of complications in comparison with the benefits of tracheostomy in young pediatric burn patients (newborn to 3 years old).Design 
    Retrospective survey.Setting 
    Tertiary care burn center.Patients 
    A total of 1549 consecutive pediatric burn patients, of whom 180 were intubated.Interventions 
    Tracheostomy was performed in 76 children.Main Outcome Measures 
    Duration of mechanical ventilation, mortality, respiratory complications, airway complications, and condition of the airway at discharge from the hospital.Results 
    Seventy-six patients required tracheostomy. Their mean burn size was 34% total body surface area and mean length of stay in the hospital was 56 days. There were no perioperative complications. Eight patients (10%) could not be decannulated because of airway obstruction. Five of these outgrew their obstruction, 2 required surgery, and 1 continues to be evaluated for laryngeal reconstruction.Conclusion 
    Pediatric tracheostomy can be performed safely with no perioperative complications and acceptable chronic morbidity.
SN  - 0004-0010
M3  - doi: 10.1001/archsurg.133.5.537
UR  - http://dx.doi.org/10.1001/archsurg.133.5.537
ER  -