Pediatric Long-Term Endotracheal Intubation and Role for Tracheostomy: Patient and Provider Factors.

Content Provider	Europe PMC
Author	Ackerman, Kassi Saley, Taylor P. Mushtaq, Nasir Carroll, Timothy
Abstract	Tracheostomy provides an alternative to long-term intubation in patients with respiratory failure, but there is little guidance for its use in pediatric patients. Our study used provider surveys of pediatric intensive care physicians managing patients intubated longer than 14 days to evaluate accuracy of physician estimates for total intubation time and the impact of medical history and illness category on determining tracheostomy placement. Providers' ability to estimate length of intubation was found to be highly inaccurate. With delayed tracheostomy conferring increased risk and mortality, better recommendations regarding indication and timing of pediatric tracheostomy placement are needed.
Related Links	https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC6517048&blobtype=pdf
ISSN	21464618
Volume Number	8
DOI	10.1055/s-0038-1676117
PubMed Central reference number	PMC6517048
Issue Number	2
PubMed reference number	31093459
Journal	Journal of Pediatric Intensive Care [J Pediatr Intensive Care]
e-ISSN	21464626
Language	English
Publisher	Georg Thieme Verlag KG
Publisher Date	2018-11-26
Publisher Place	Stuttgart · New York
Access Restriction	Open
Rights License	© Thieme Medical Publishers
Subject Keyword	pediatric tracheostomy intubation
Content Type	Text
Resource Type	Article
Subject	Critical Care and Intensive Care Medicine Pediatrics, Perinatology and Child Health