Tracheotomy in the Preterm Infant

Author:

Kenna Margaret A.1,Reilly James S.2,Stool Sylvan E.3

Affiliation:

1. New Haven, Connecticut

2. Birmingham, Alabama

3. Pittsburgh, Pennsylvania

Abstract

Over the last decade, prolonged survival of preterm infants (gestation ≤ 36 weeks) who require lengthy periods of mechanical ventilation has necessitated that many of these infants undergo tracheotomy. The complication rate for tracheotomy in these preterm infants has not been reported. We compared 83 full-term (FT) infants who underwent tracheotomy in their first year of life with 41 preterm infants. Twenty-three preterm infants had birth weight ≥ 1,500 g (PT), and 18 of the preterm infants had gestational age ≤32 weeks and birth weight ≤ 1,500 g (PT-VLBW). Early complications (day 0 to 7) occurred in over 50% of the PT-VLBW compared to only 24% of the FT infants. Late complication rates were similar for all three groups. This higher early complication rate for PT-VLBW infants may be related to gestational age, low birth weight, and medical condition rather than surgical technique.

Publisher

SAGE Publications

Subject

General Medicine,Otorhinolaryngology

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1. Complications of tracheostomy in children: a systematic review;Brazilian Journal of Otorhinolaryngology;2020-12

2. The influence of pediatric tracheostomy on the body weight percentile of children;International Journal of Pediatric Otorhinolaryngology;2016-12

3. Care of the High-Risk Newborn in the Emergency Department;Clinical Pediatric Emergency Medicine;2016-06

4. Paediatric tracheostomy—An 11 year experience at a Scottish paediatric tertiary referral centre;International Journal of Pediatric Otorhinolaryngology;2015-10

5. Surveillance direct laryngoscopy and bronchoscopy in children with tracheostomies;The Laryngoscope;2015-03-17

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