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 journalArticle

2 Citations (Scopus)

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% FiO 2 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 languageEnglish (US)
Pages (from-to)263-268
Number of pages6
JournalOtolaryngology - Head and Neck Surgery
Volume123
Issue number3
StatePublished - 2000
Externally publishedYes

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Tracheotomy
Oxygen
Laryngoscopy
Granulation Tissue
Bronchoscopy
Tertiary Healthcare
Pathologic Constriction

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Picerno, N. A., Bent, J. P., Hammond, J., Pennington, W., Guill, M. F., Hudson, V. L., & Deane, D. A. (2000). Is tracheotomy decannulation possible in oxygen-dependent children? Otolaryngology - Head and Neck Surgery, 123(3), 263-268.

Is tracheotomy decannulation possible in oxygen-dependent children? / Picerno, Nicolette A.; Bent, John P.; Hammond, Jeffrey; Pennington, Weems; Guill, Margaret F.; Hudson, Valera L.; Deane, Daniel A.

In: Otolaryngology - Head and Neck Surgery, Vol. 123, No. 3, 2000, p. 263-268.

Research output: Contribution to journalArticle

Picerno, NA, Bent, JP, Hammond, J, Pennington, W, Guill, MF, Hudson, VL & Deane, DA 2000, 'Is tracheotomy decannulation possible in oxygen-dependent children?', Otolaryngology - Head and Neck Surgery, vol. 123, no. 3, pp. 263-268.
Picerno NA, Bent JP, Hammond J, Pennington W, Guill MF, Hudson VL et al. Is tracheotomy decannulation possible in oxygen-dependent children? Otolaryngology - Head and Neck Surgery. 2000;123(3):263-268.
Picerno, Nicolette A. ; Bent, John P. ; Hammond, Jeffrey ; Pennington, Weems ; Guill, Margaret F. ; Hudson, Valera L. ; Deane, Daniel A. / Is tracheotomy decannulation possible in oxygen-dependent children?. In: Otolaryngology - Head and Neck Surgery. 2000 ; Vol. 123, No. 3. pp. 263-268.
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AU - Picerno, Nicolette A.

AU - Bent, John P.

AU - Hammond, Jeffrey

AU - Pennington, Weems

AU - Guill, Margaret F.

AU - Hudson, Valera L.

AU - Deane, Daniel A.

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N2 - 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% FiO 2 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.

AB - 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% FiO 2 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.

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