Home > Journals > Minerva Anestesiologica > Past Issues > Minerva Anestesiologica 2017 August;83(8) > Minerva Anestesiologica 2017 August;83(8):836-43

CURRENT ISSUE
 

ARTICLE TOOLS

Publication history
Reprints
Cite this article as

MINERVA ANESTESIOLOGICA

A Journal on Anesthesiology, Resuscitation, Analgesia and Intensive Care


Official Journal of the Italian Society of Anesthesiology, Analgesia, Resuscitation and Intensive Care
Indexed/Abstracted in: Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 2,623


eTOC

 

ORIGINAL ARTICLE  


Minerva Anestesiologica 2017 August;83(8):836-43

DOI: 10.23736/S0375-9393.17.11681-0

Copyright © 2017 EDIZIONI MINERVA MEDICA

language: English

Early versus late tracheostomy in pediatric intensive care unit: does it matter? A 6-year experience

Alessandro PIZZA, Enzo PICCONI , Marco PIASTRA, Orazio GENOVESE, Daniele G. BIASUCCI, Giorgio CONTI

Pediatric Intensive Care Unit, Department of Anesthesiology and Intensive Care, Sacro Cuore Catholic University, Rome, Italy


PDF  


BACKGROUND: The aim of this study is to examine the clinical data of children who underwent tracheostomy during their stay in Pediatric Intensive Care Unit (PICU), in order to describe the relationship between the timing of tracheostomy, the length of PICU stay and the occurrence of ventilator-associated pneumonia (VAP).
METHODS: This is a retrospective cohort study that collects all patients undergoing tracheostomy during their PICU stay over a six-year period. Data collection included PICU length of stay, days of intubation, days of mechanical ventilation, primary indication for tracheostomy, information about VAP and decannulations. The early tracheostomy group was defined as patients who had ten or fewer days of continuous ventilation, whereas the late tracheostomy group had more than ten days of continuous ventilation.
RESULTS: A significant decrease in the rate of VAP incidence was noticed in the early tracheostomy group vs. late group (P=0.004, OR=0.39, 95% CI: 0.18-0.85). No differences were observed about decannulation, need of long-term ventilation and death rate. Significant decreases of days of mechanical ventilation and PICU stay were found in subgroup of patients who underwent early tracheostomy and were decannulated within 18 months.
CONCLUSIONS: No standard timing for tracheostomy placement has been established in the pediatric population. Early tracheostomy can shorten the days of ventilation and hospitalization in PICU and reduce the incidence of VAP, but further studies are needed to identify patient categories in which it can be of benefit.


KEY WORDS: Tracheostomy - Pediatric emergency medicine - Ventilator-associated pneumonia - Pediatric intensive care units

top of page

Publication History

Issue published online: July 17, 2017
Article first published online: March 28, 2017
Manuscript accepted: March 10, 2017
Manuscript revised: February 13, 2017
Manuscript received: August 29, 2016

Cite this article as

Pizza A, Picconi E, Piastra M, Genovese O, Biasucci DG, Conti G. Early versus late tracheostomy in pediatric intensive care unit: does it matter? A 6-year experience. Minerva Anestesiol 2017;83:836-43. DOI: 10.23736/S0375-9393.17.11681-0

Corresponding author e-mail

enzo.picconi@yahoo.it