Pediatrik Trakeotomi
Özet
Pediatrik trakeotomi, çocuklarda üst solunum yolu obstrüksiyonu, uzamış ventilasyon ve nöromusküler hastalıklar gibi durumlar için uygulanır. Tarihi 18. yüzyıla kadar uzanan bu cerrahi prosedür, çocuklarda anatomi ve fizyolojik farklılıklar nedeniyle zorlu ve komplikasyon riski yüksek bir operasyondur. Bölümde, pediatrik trakeotominin endikasyonları, kontraendikasyonları, cerrahi hazırlık ve teknik aşamaları detaylı bir şekilde ele alınmıştır. Ayrıca, erken ve geç dönemde karşılaşılabilecek komplikasyonlar ile bakım sürecinde multidisipliner ekip çalışmasının önemi vurgulanmıştır.
Referanslar
Fuller C, Wineland AM, Richter GT. Update on Pediatric Tracheostomy: Indications, Technique, Education, and Decannulation. Curr Otorhinolaryngol Rep. 2021;9(2):188-199.
Swift AC, Rogers JH. The changing indications for tracheostomy in children. J Laryngol Otol. 1987;101(12):1258–1262. doi: 10.1017/S0022215100103627.
Prakash M, Johnny JC. Whats special in a child's larynx? J Pharm Bioallied Sci. 2015 Apr;7(Suppl 1):S55-8. doi: 10.4103/0975-7406.155797. PMID: 26015749; PMCID: PMC4439709.
Di Cicco M, Kantar A, Masini B, Nuzzi G, Ragazzo V, Peroni D. Structural and functional development in airways throughout childhood: Children are not small adults. Pediatr Pulmonol. 2021 Jan;56(1):240-251. doi: 10.1002/ppul.25169. Epub 2020 Nov 24. PMID: 33179415.
P. Ashley Wackym, James B. Snow, Ballenger's Otorhinolaryngology: Head and Neck Surgery, Volume 1, PMPH USA, 2016, pg 1091- 1100.
Glenis K. Scadding, Peter D. Bull, John M. Graham, Pediatric ENT, 2007, pg 247-252.
Kılıç MA, Mutlu A. Vokal kord paralizisi. Çakır E, editör. Çocuklarda Enfeksiyon Dışı Hava Yolu Hastalıkları. 1. Baskı. Ankara: Türkiye Klinikleri; 2022. p.54-8.
Khaja M, Haider A, Alapati A, Qureshi ZA, Yapor L. Percutaneous Tracheostomy: A Bedside Procedure. Cureus. 2022 Apr;14(4):e24083.
Iowa Head and Neck Protocols. Pediatric Tracheotomy | Iowa Head and Neck Protocols. (n.d.). https://medicine.uiowa.edu/iowaprotocols/pediatric-tracheotomy
Fuller C, Wineland AM, Richter GT. Update on Pediatric Tracheostomy: Indications, Technique, Education, and Decannulation. Curr Otorhinolaryngol Rep. 2021;9(2):188-199. doi: 10.1007/s40136-021-00340-y. Epub 2021 Apr 15. PMID: 33875932; PMCID: PMC8047564.
Watters K, O'Neill M, Zhu H, Graham RJ, Hall M, Berry J. Two-year mortality, complications, and healthcare use in children with medicaid following tracheostomy. Laryngoscope. 2016 Nov;126(11):2611-2617. doi: 10.1002/lary.25972. Epub 2016 Apr 5. PMID: 27060012.
D’Souza JN, Levi JR, Park D, Shah UK. Complications Following Pediatric Tracheotomy. JAMA Otolaryngol Head Neck Surg. 2016;142(5):484–488. doi:10.1001/jamaoto.2016.0173
Hawkins DB, Williams EH. Tracheostomy in infants and young children. Laryngoscope. 1976 Mar;86(3):331-40. doi: 10.1288/00005537-197603000-00002. PMID: 1256210.
Lawrence PR, Chambers R, Faulkner MS, Spratling R. Evidence-Based Care of Children With Tracheostomies: Hospitalization to Home Care. Rehabil Nurs. 2021 Mar-Apr 01;46(2):83-86. doi: 10.1097/RNJ.0000000000000254. PMID: 32108728; PMCID: PMC8365473.
Bonvento B, Wallace S, Lynch J, Coe B, McGrath BA. Role of the multidisciplinary team in the care of the tracheostomy patient. J Multidiscip Healthc. 2017 Oct 11;10:391-398. doi: 10.2147/JMDH.S118419. PMID: 29066907; PMCID: PMC5644554.
Swift AC, Rogers JH. The changing indications for tracheostomy in children. J Laryngol Otol. 1987;101(12):1258–1262. doi: 10.1017/S0022215100103627.
Prakash M, Johnny JC. Whats special in a child's larynx? J Pharm Bioallied Sci. 2015 Apr;7(Suppl 1):S55-8. doi: 10.4103/0975-7406.155797. PMID: 26015749; PMCID: PMC4439709.
Di Cicco M, Kantar A, Masini B, Nuzzi G, Ragazzo V, Peroni D. Structural and functional development in airways throughout childhood: Children are not small adults. Pediatr Pulmonol. 2021 Jan;56(1):240-251. doi: 10.1002/ppul.25169. Epub 2020 Nov 24. PMID: 33179415.
P. Ashley Wackym, James B. Snow, Ballenger's Otorhinolaryngology: Head and Neck Surgery, Volume 1, PMPH USA, 2016, pg 1091- 1100.
Glenis K. Scadding, Peter D. Bull, John M. Graham, Pediatric ENT, 2007, pg 247-252.
Kılıç MA, Mutlu A. Vokal kord paralizisi. Çakır E, editör. Çocuklarda Enfeksiyon Dışı Hava Yolu Hastalıkları. 1. Baskı. Ankara: Türkiye Klinikleri; 2022. p.54-8.
Khaja M, Haider A, Alapati A, Qureshi ZA, Yapor L. Percutaneous Tracheostomy: A Bedside Procedure. Cureus. 2022 Apr;14(4):e24083.
Iowa Head and Neck Protocols. Pediatric Tracheotomy | Iowa Head and Neck Protocols. (n.d.). https://medicine.uiowa.edu/iowaprotocols/pediatric-tracheotomy
Fuller C, Wineland AM, Richter GT. Update on Pediatric Tracheostomy: Indications, Technique, Education, and Decannulation. Curr Otorhinolaryngol Rep. 2021;9(2):188-199. doi: 10.1007/s40136-021-00340-y. Epub 2021 Apr 15. PMID: 33875932; PMCID: PMC8047564.
Watters K, O'Neill M, Zhu H, Graham RJ, Hall M, Berry J. Two-year mortality, complications, and healthcare use in children with medicaid following tracheostomy. Laryngoscope. 2016 Nov;126(11):2611-2617. doi: 10.1002/lary.25972. Epub 2016 Apr 5. PMID: 27060012.
D’Souza JN, Levi JR, Park D, Shah UK. Complications Following Pediatric Tracheotomy. JAMA Otolaryngol Head Neck Surg. 2016;142(5):484–488. doi:10.1001/jamaoto.2016.0173
Hawkins DB, Williams EH. Tracheostomy in infants and young children. Laryngoscope. 1976 Mar;86(3):331-40. doi: 10.1288/00005537-197603000-00002. PMID: 1256210.
Lawrence PR, Chambers R, Faulkner MS, Spratling R. Evidence-Based Care of Children With Tracheostomies: Hospitalization to Home Care. Rehabil Nurs. 2021 Mar-Apr 01;46(2):83-86. doi: 10.1097/RNJ.0000000000000254. PMID: 32108728; PMCID: PMC8365473.
Bonvento B, Wallace S, Lynch J, Coe B, McGrath BA. Role of the multidisciplinary team in the care of the tracheostomy patient. J Multidiscip Healthc. 2017 Oct 11;10:391-398. doi: 10.2147/JMDH.S118419. PMID: 29066907; PMCID: PMC5644554.
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24 Ocak 2025
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