1. [Cause and treatment in difficult decannulation of tracheotomic children].
- Author
-
Jia L and Zhang S
- Subjects
- Child, Child, Preschool, Female, Humans, Infant, Infant, Newborn, Laryngeal Diseases therapy, Male, Retrospective Studies, Intubation, Intratracheal adverse effects, Tracheotomy adverse effects
- Abstract
Objective: To explore the cause of difficult decannulation in tracheotomic children and increase the rate of successful decannulation., Method: Clinical data of 69 cases of difficult decannulation in tracheotomic children were analyzed retrospectively., Result: 42(60.9%) cases were not cured for their primary diseases were not cured in a short time, 14 (20.3%) cases were in improper procedure. The location of tracheotomy was too high in 4 (5.8%) cases and tracheal stricture in 4(5.8%). In 5(7.2%) cases discharge blocked in airway. After treatment decannulation was finished in 49 cases, among them, 15 cases remain tracheo-skin fistula. The other 18 cases failed to decannulation, and 2 cases died of tubal accident., Conclusion: The main reason of difficult decannulation in tracheotomic children is the primary disease which were not fully recovered. The second reason is improper procedure of decannulation. Difficulty in decannulation has nothing to do with the age of children.
- Published
- 2002