Retrospective comparison of Velcro® and twill tie outcomes following pediatric tracheotomy

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Abstract

Objectives: To compare the rates of skin-related complications and accidental decannulation in pediatric patients who received Velcro® ties versus twill ties during the early postoperative period following tracheotomy. The rates of skin-related complications and accidental decannulation in patients with Velcro® ties was hypothesized to differ from those in patients with twill ties. Methods: Medical records of 109 patients ≤18 years old who underwent elective tracheotomy were reviewed: 70 received twill ties and 39 received Velcro® ties. Patients were followed for the first seven postoperative days. The primary outcome was skin-related complications, which were further categorized into mild (irritation) and severe (breakdown). The secondary outcome was accidental decannulation. Rates of skin-related complication and accidental decannulation were compared across the two groups using chi-square analysis. Results: Skin irritation occurred in 32 patients (45.7%) with twill ties and 10 patients (25.6%) with Velcro®. Skin breakdown occurred in 20 patients (28.6%) with twill ties and 6 patients (15.4%) with Velcro®. There were no accidental decannulation events. The use of Velcro® ties was associated with a decreased rate of skin irritation (OR: 0.41; 95% CI: 0.17–0.97; P = 0.039). Conclusions: The use of Velcro® ties was associated with a decrease in the rate of skin irritation. There were no accidental decannulation events. These findings support the use of Velcro® ties at the time of pediatric tracheotomy placement.

LanguageEnglish (US)
Pages192-195
Number of pages4
JournalInternational Journal of Pediatric Otorhinolaryngology
Volume116
DOIs
StatePublished - Jan 1 2019

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Tracheotomy
Pediatrics
Skin
Postoperative Period
Medical Records

Keywords

  • Pediatric airway
  • Pediatric general
  • Pediatric tracheostomy
  • Tracheostomy
  • Tracheostomy ties

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Otorhinolaryngology

Cite this

@article{5fcbb97b2b904c67b276512a68a32c17,
title = "Retrospective comparison of Velcro{\circledR} and twill tie outcomes following pediatric tracheotomy",
abstract = "Objectives: To compare the rates of skin-related complications and accidental decannulation in pediatric patients who received Velcro{\circledR} ties versus twill ties during the early postoperative period following tracheotomy. The rates of skin-related complications and accidental decannulation in patients with Velcro{\circledR} ties was hypothesized to differ from those in patients with twill ties. Methods: Medical records of 109 patients ≤18 years old who underwent elective tracheotomy were reviewed: 70 received twill ties and 39 received Velcro{\circledR} ties. Patients were followed for the first seven postoperative days. The primary outcome was skin-related complications, which were further categorized into mild (irritation) and severe (breakdown). The secondary outcome was accidental decannulation. Rates of skin-related complication and accidental decannulation were compared across the two groups using chi-square analysis. Results: Skin irritation occurred in 32 patients (45.7{\%}) with twill ties and 10 patients (25.6{\%}) with Velcro{\circledR}. Skin breakdown occurred in 20 patients (28.6{\%}) with twill ties and 6 patients (15.4{\%}) with Velcro{\circledR}. There were no accidental decannulation events. The use of Velcro{\circledR} ties was associated with a decreased rate of skin irritation (OR: 0.41; 95{\%} CI: 0.17–0.97; P = 0.039). Conclusions: The use of Velcro{\circledR} ties was associated with a decrease in the rate of skin irritation. There were no accidental decannulation events. These findings support the use of Velcro{\circledR} ties at the time of pediatric tracheotomy placement.",
keywords = "Pediatric airway, Pediatric general, Pediatric tracheostomy, Tracheostomy, Tracheostomy ties",
author = "Bitners, {Anna C.} and Burton, {William B.} and Yang, {Christina J.}",
year = "2019",
month = "1",
day = "1",
doi = "10.1016/j.ijporl.2018.10.022",
language = "English (US)",
volume = "116",
pages = "192--195",
journal = "International Journal of Pediatric Otorhinolaryngology",
issn = "0165-5876",
publisher = "Elsevier Ireland Ltd",

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TY - JOUR

T1 - Retrospective comparison of Velcro® and twill tie outcomes following pediatric tracheotomy

AU - Bitners, Anna C.

AU - Burton, William B.

AU - Yang, Christina J.

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Objectives: To compare the rates of skin-related complications and accidental decannulation in pediatric patients who received Velcro® ties versus twill ties during the early postoperative period following tracheotomy. The rates of skin-related complications and accidental decannulation in patients with Velcro® ties was hypothesized to differ from those in patients with twill ties. Methods: Medical records of 109 patients ≤18 years old who underwent elective tracheotomy were reviewed: 70 received twill ties and 39 received Velcro® ties. Patients were followed for the first seven postoperative days. The primary outcome was skin-related complications, which were further categorized into mild (irritation) and severe (breakdown). The secondary outcome was accidental decannulation. Rates of skin-related complication and accidental decannulation were compared across the two groups using chi-square analysis. Results: Skin irritation occurred in 32 patients (45.7%) with twill ties and 10 patients (25.6%) with Velcro®. Skin breakdown occurred in 20 patients (28.6%) with twill ties and 6 patients (15.4%) with Velcro®. There were no accidental decannulation events. The use of Velcro® ties was associated with a decreased rate of skin irritation (OR: 0.41; 95% CI: 0.17–0.97; P = 0.039). Conclusions: The use of Velcro® ties was associated with a decrease in the rate of skin irritation. There were no accidental decannulation events. These findings support the use of Velcro® ties at the time of pediatric tracheotomy placement.

AB - Objectives: To compare the rates of skin-related complications and accidental decannulation in pediatric patients who received Velcro® ties versus twill ties during the early postoperative period following tracheotomy. The rates of skin-related complications and accidental decannulation in patients with Velcro® ties was hypothesized to differ from those in patients with twill ties. Methods: Medical records of 109 patients ≤18 years old who underwent elective tracheotomy were reviewed: 70 received twill ties and 39 received Velcro® ties. Patients were followed for the first seven postoperative days. The primary outcome was skin-related complications, which were further categorized into mild (irritation) and severe (breakdown). The secondary outcome was accidental decannulation. Rates of skin-related complication and accidental decannulation were compared across the two groups using chi-square analysis. Results: Skin irritation occurred in 32 patients (45.7%) with twill ties and 10 patients (25.6%) with Velcro®. Skin breakdown occurred in 20 patients (28.6%) with twill ties and 6 patients (15.4%) with Velcro®. There were no accidental decannulation events. The use of Velcro® ties was associated with a decreased rate of skin irritation (OR: 0.41; 95% CI: 0.17–0.97; P = 0.039). Conclusions: The use of Velcro® ties was associated with a decrease in the rate of skin irritation. There were no accidental decannulation events. These findings support the use of Velcro® ties at the time of pediatric tracheotomy placement.

KW - Pediatric airway

KW - Pediatric general

KW - Pediatric tracheostomy

KW - Tracheostomy

KW - Tracheostomy ties

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