Decannulation Protocol in Pediatric Patients: Case Series Study

Overview

Journal Rev Paul Pediatr

Specialty Pediatrics

Date 2024 Sep 25

PMID 39319994

Authors

Luciana Diniz Gomide de Miranda

Luiza Araujo Alves Borges

Laura Caldeira Zavaglia

Tereza Cristina Lara Mesquita

Luanna Rodrigues Leite

Larissa Tavares Aguiar

Isabela Furtado de Mendonca Picinin

Affiliations

Soon will be listed here.

Abstract

Objective: The aim of this study was to describe the phases of a decannulation protocol and the results from its application in hospitalized children.

Methods: This is a retrospective, observational study. Data were collected from medical records of decannulated patients followed up in a pediatric hospital in Belo Horizonte, Minas Gerais between 2011 and 2021.

Results: Among the children followed up in the service (n=526), 23% (n=120) were successfully decannulated. Children aged between 2 months and 16 years, with a mean age of 4 years, 69% of whom were male, were evaluated. About 75% of the patients have tracheostomy due to upper airway obstruction and 60% of these due to acquired subglottic stenosis. At the beginning of the decannulation protocol, 5.5% of the patients had moderate oropharyngeal dysphagia, while 80.4% had normal swallowing. Correction in the upper airway pre-decannulation was performed in 39.5% of the patients, dilation in 63.8%, and endoscopic correction was performed in 55.3%. After performing the decannulation, none of the patients had complications.

Conclusions: The described decannulation protocol is safe, since no complications such as death and need for recannulation happened.

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