Evidence map›Paper›PMID 37121990›Full record

ReviewEuropean journal of pediatrics2023

Tracheostomy decannulation in children: a proposal for a structured approach on behalf of the working group chronic respiratory insufficiency within the German-speaking society of pediatric pulmonology.

Eicke Böschen, Anke Wendt, Sarah Müller-Stöver, Lydia Piechnik, Hans Fuchs, Madeleine Lund, Mathis Steindor, Jörg Große-Onnebrink, Christina Keßler, Ruth Grychtol and 5 more

Abstract readReview
PubMed Publisher
In one paragraph

Review in European journal of pediatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.8field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 7 citations in OpenAlex.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 8 institutions in 2 countries.

Eicke BöschenDepartment of Respiratory Care, Pediatric Pulmonology and Sleep Medicine, Childrens Hospital, Altonaer Kinderkrankenhaus, Bleickenallee 38, 22763, Hamburg, Germany. eicke.boeschen@gmx.de.
Anke WendtDepartment of Pediatric Respiratory Medicine, Immunology and Critical Care Medicine, Charité, Berlin, Germany.
Sarah Müller-StöverDepartment of Respiratory Care, Pediatric Pulmonology and Sleep Medicine, Childrens Hospital, Altonaer Kinderkrankenhaus, Bleickenallee 38, 22763, Hamburg, Germany.
Lydia PiechnikDepartment of Pediatric Respiratory Medicine, Immunology and Critical Care Medicine, Charité, Berlin, Germany.
Hans FuchsCenter for Pediatrics, Department of Neonatology, Medical Center, University of Freiburg, Freiburg, Germany.
Madeleine LundDepartment of Respiratory Care, Pediatric Pulmonology and Sleep Medicine, Childrens Hospital, Altonaer Kinderkrankenhaus, Bleickenallee 38, 22763, Hamburg, Germany.
Mathis SteindorDepartment of Pediatric Pulmonology and Sleep Medicine, Childrens Hospital, University of Duisburg-Essen, Essen, Germany.
Jörg Große-OnnebrinkDepartment of General Pediatrics, University Hospital Munster, Munster, Germany.
Christina KeßlerDepartment of General Pediatrics, University Hospital Munster, Munster, Germany.
Ruth GrychtolDepartment of Paediatric Pneumology, Allergology and Neonatology, Hannover Medical School; Biomedical Research in Endstage and Obstructive Lung Disease Hannover (BREATH), Member of the German Center for Lung Research (DZL), Hannover, Germany.
Tobias RothoeftDepartment of Neonatology and Pediatric Intensive Care, University Childrens Hospital, Ruhr-University, Bochum, Germany.
Christian BieliDepartment of Paediatric Pulmonology, University Childrens Hospital, Zurich, Switzerland.
Andreas van Egmond-FröhlichDepartment of Paediatric Pulmonology, Klinik Favoriten, Vienna, Austria.
Florian StehlingDepartment of Pediatric Pulmonology and Sleep Medicine, Childrens Hospital, University of Duisburg-Essen, Essen, Germany.
Working Group on Chronic Respiratory Insufficiency in the German speaking society of Pediatric Pulmonology
Altonaer Kinderkrankenhaus · DECharité - Universitätsmedizin Berlin · DEUniversity Hospital Münster · DEUniversity of Duisburg-Essen · DEGerman Center for Lung Research · DEUniversity Children's Hospital Zurich · CHUniversity Hospitals of the Ruhr-University of Bochum · DEUniversity Medical Center Freiburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The number of children with tracheostomies with and without home mechanical ventilation has grown continuously in recent years. For some of these children, the need for tracheostomy resolves and the child can be weaned from the tracheal cannula. Choosing the optimal time point for decannulation after elaborated prior diagnostic work-up needs careful consideration. The decannulation process requires an interdisciplinary team; however, these specialized structures for the experienced care of these children with tracheostomy are not available in all areas. The Working Group on Chronic Respiratory Insufficiency in the German Speaking Pediatric Pneumology Society (GPP) developed these recommendations to guide through a decannulation process. Initial evaluation of decannulation feasibility starts in the outpatient clinic with a detailed history, examination, and a speaking valve trial and is followed by an inpatient workup including sleep study, airway endoscopy and possibly modifications of the tracheal cannula. Downsizing the tracheal cannula allows a stepwise controlled weaning prior to removal of the tracheal cannula. After shrinking of the tracheostomy, the final surgical closure is performed.  Conclusion: An algorithm with diagnostic and therapeutic procedures for a safe and successful decannulation process is proposed. What is Known: • In children tracheostomy decannulation is a complex process that requires careful preparation and surveillance. What is New: • This statement of the German speaking society of pediatric pulmonology provides an expert practice guidance on the decannulation procedure and the value of one-way speaking valves.

Indexed as

Pulmonary MedicineRespiratory InsufficiencyChildDevice RemovalHumansRespiration, ArtificialRetrospective StudiesTracheostomyChildDecannulationHome ventilationLong-term ventilationTracheostomyWeaning

Identifiers

PMID37121990
OpenAlexW4367601674

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.