Neonatal Tracheostomy – Issues and Solutions

Authors

  • A Saadia Deccan College of Medical Sciences and Princess Esra Hospital , Hyderabad
  • GR Prasad Deccan College of Medical Sciences and Princess Esra Hospital , Hyderabad

DOI:

https://doi.org/10.47338/jns.v4.166

Keywords:

Neonate, Tracheostomy

Abstract

AIMS: To record and analyse the technical aspects of neonatal tracheostomy and to suggest some solutions.

Materials and Methods: This is a retrospective observational cohort of 37 cases of neonatal tracheostomies performed over 30 years (1985-2014).

Results: Thirty-three of the 37 tracheostomies were done as an elective procedure and four done emergently. Eighteen neonatal tracheostomies were done with a low transverse cervical incision and 19 were done with low vertical cervical incision. Three patients had bleeding while exposing the trachea. Trachea could not easily be identified in 2 cases. Commercial tracheostomy tubes were used in only 20 cases. In 17 patients, the conventional endotracheal tubes 2.5 or 3fr size were used. There were 3 instances of wound infection out of which one has peri-tracheostomy necrotizing cellulitis and the neonate succumbed to sepsis. Two cases had surgical emphysema. No case had pneumothorax.

Conclusion: We described tracheostomy in neonates in a resource constrained centre. Various makeshift arrangements can be used in absence of standard supplies.

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Published

2015-03-25

How to Cite

1.
Saadia A, Prasad G. Neonatal Tracheostomy – Issues and Solutions. J Neonatal Surg [Internet]. 2015Mar.25 [cited 2021Feb.28];4(2):J Neonat Surg. 2015; 4(2):13. Available from: https://jneonatalsurg.com/ojs/index.php/jns/article/view/166