Publication: Tracheostomy among Children Admitted in the Pediatric Intensive Care Unit of a Tertiary Care Centre
| creativeworkseries.issn | JNMA Print ISSN: 0028-2715; Online ISSN: 1815-672X | |
| dc.contributor.author | Bathwal, Rahul | |
| dc.contributor.author | Dongol, Kripa | |
| dc.contributor.author | Dutta, Heempali | |
| dc.contributor.author | Neupane, Yogesh | |
| dc.date.accessioned | 2025-08-21T05:52:45Z | |
| dc.date.available | 2025-08-21T05:52:45Z | |
| dc.date.issued | 2023 | |
| dc.description | Rahul Bathwal Department of ENT-HNS, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal Kripa Dongol Department of ENT-HNS, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal Heempali Dutta Department of ENT-HNS, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal Yogesh Neupane Department of ENT-HNS, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal | |
| dc.description.abstract | Abstract Introduction: Tracheostomy is commonly performed for upper airway obstruction, prolonged mechanical ventilation and tracheo-bronchial toileting. Pediatric tracheostomy differs from adult tracheostomy in terms of surgical procedure, post-operative care and recovery. The tracheostomized patients may either be decannulated, discharged with tube-in-situ or the patient may expire. The aim of this study was to find out the prevalence of tracheostomy in patients admitted to the Pediatric intensive care unit of a tertiary care centre. Methods: A descriptive cross-sectional study was performed among children admitted to the Pediatric intensive care unit of a tertiary care centre from 1 May 2017 to 31 August 2022 after obtaining ethical approval from the Institutional Review Committee. A convenience sampling method was used. The point estimate was calculated at 95% Confidence Interval. Results: Among 1472 patients, tracheostomy was done in 65 (4.41%) (3.37-5.47, 95% Confidence Interval). A total of 33 (50.76%) underwent tracheostomy for prolonged ventilation whereas 32 (49.23%) were tracheostomized for airway obstruction. Among them, 41 (63.07%) patients were successfully decannulated, 9 (13.84%) were discharged with tracheostomy tubes in situ whereas 15 (23.07%) patients deceased. The most common complication was tracheostomy tube blockage reported in 5 (7.69%). Conclusions: The prevalence of tracheostomy among the children of the pediatric intensive care unit was found to be lower than in other studies. | |
| dc.identifier | https://doi.org/10.31729/jnma.8323 | |
| dc.identifier.uri | https://hdl.handle.net/20.500.14572/1845 | |
| dc.language.iso | en_US | |
| dc.publisher | Nepal Medical Association | |
| dc.title | Tracheostomy among Children Admitted in the Pediatric Intensive Care Unit of a Tertiary Care Centre | |
| dc.type | Article | |
| dspace.entity.type | Publication | |
| local.article.type | Original Article | |
| oaire.citation.endPage | 855 | |
| oaire.citation.startPage | 852 | |
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| relation.isJournalIssueOfPublication.latestForDiscovery | 9380e6f7-494d-40b2-a2ce-3f02ecf3b957 | |
| relation.isJournalOfPublication | e6e146a0-0ece-4aba-aa0a-6ccfbd10a12a |