Is tracheotomy decannulation possible in oxygen-dependent children?

Nicolette A. Picerno; John P. Bent; Jeffrey Hammond; Weems Pennington; Margaret F. Guill; Valera L. Hudson; Daniel A. Deane

doi:10.1067/mhn.2000.107530

Is tracheotomy decannulation possible in oxygen-dependent children?

Nicolette A. Picerno, John P. Bent, Jeffrey Hammond, Weems Pennington, Margaret F. Guill, Valera L. Hudson, Daniel A. Deane

Research output: Contribution to journal › Article › peer-review

3 Scopus citations

Abstract

OBJECTIVE: The goal was to determine whether decannulation can be safely achieved in children with persistent oxygen requirements. DESIGN: The study was a prospective evaluation of 12 oxygen-dependent children at a tertiary care academic children's medical center. METHODS: Twelve tracheotomy-dependent children with persistent oxygen requirements were evaluated for decannulation. Patients requiring more than 35% FiO₂ were not considered. Direct laryngoscopy and bronchoscopy were performed in all patients. Two required single-stage laryngotracheoplasty to correct subglottic stenosis, 1 required tracheal resection, and 7 required removal of supra-stomal granulation tissue. Oxygen was administered after decannulation through a nasal cannula. RESULTS: Decannulation was successful in 92% (11 of 12) of patients. At final follow-up, oxygen requirements decreased in 58% of patients after decannulation. CONCLUSIONS: Decannulation can be successful in children who remain oxygen dependent; conversion to a more physiologic airway may be an adjunct to reducing or eliminating their oxygen demand.

Original language	English (US)
Pages (from-to)	263-268
Number of pages	6
Journal	Otolaryngology - Head and Neck Surgery
Volume	123
Issue number	3
DOIs	https://doi.org/10.1067/mhn.2000.107530
State	Published - Jan 1 2000

ASJC Scopus subject areas

Surgery
Otorhinolaryngology

Access to Document

10.1067/mhn.2000.107530

Cite this

@article{c8597b84b2884a21a428f0b9cd5d0588,

title = "Is tracheotomy decannulation possible in oxygen-dependent children?",

abstract = "OBJECTIVE: The goal was to determine whether decannulation can be safely achieved in children with persistent oxygen requirements. DESIGN: The study was a prospective evaluation of 12 oxygen-dependent children at a tertiary care academic children's medical center. METHODS: Twelve tracheotomy-dependent children with persistent oxygen requirements were evaluated for decannulation. Patients requiring more than 35% FiO2 were not considered. Direct laryngoscopy and bronchoscopy were performed in all patients. Two required single-stage laryngotracheoplasty to correct subglottic stenosis, 1 required tracheal resection, and 7 required removal of supra-stomal granulation tissue. Oxygen was administered after decannulation through a nasal cannula. RESULTS: Decannulation was successful in 92% (11 of 12) of patients. At final follow-up, oxygen requirements decreased in 58% of patients after decannulation. CONCLUSIONS: Decannulation can be successful in children who remain oxygen dependent; conversion to a more physiologic airway may be an adjunct to reducing or eliminating their oxygen demand.",

author = "Picerno, {Nicolette A.} and Bent, {John P.} and Jeffrey Hammond and Weems Pennington and Guill, {Margaret F.} and Hudson, {Valera L.} and Deane, {Daniel A.}",

year = "2000",

month = jan,

day = "1",

doi = "10.1067/mhn.2000.107530",

language = "English (US)",

volume = "123",

pages = "263--268",

journal = "Otolaryngology - Head and Neck Surgery",

issn = "0194-5998",