ArticleIndian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine2025
Tracheostomy in Children: Experience from a Tertiary Care Center in South India.
Article in Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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3 citing papers in PubMed.
- Authors Response: Comments on "Tracheostomy in Children - Experience from a Tertiary Care Center in South India".Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2025Article
- Tracheostomy in Children: A Call for Deeper Reflection.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2025Article
- Incidence and Long-Term Outcomes of Pediatric Tracheostomy in Japan: A Cohort Study Using a Japanese Claims Database.Pediatrics international : official journal of the Japan Pediatric SocietyArticle
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6 authors.
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Abstract
Background and aim: Data on tracheostomy in children are scarce in India. Hence, our study aimed to determine the indications, timing, complications, and outcomes of tracheostomy in a pediatric intensive care unit (PICU). Patients and methods: We carried out a single-center ambispective study in children aged 1 month to 12 years undergoing tracheostomy in the PICU from February 2019 to April 2024. Data on age, gender, indications, complications, outcome, and follow-up of post-tracheostomy patients were collected and analyzed. Results: One hundred and thirty-six patients underwent tracheostomy. Neurological illness (57.4%) was the reason for admission in the majority of children. Prolonged ventilation was the most common indication for tracheostomy (50%). The median (IQR) duration of ventilation before tracheostomy was 21 (14-27) days. The mean (SD) duration of weaning to "T piece" was 9.3 (7.8) days. Forty-six children died in the hospital due to primary illness and 4 (2.9%) tracheostomy-related deaths. Complications were observed in 58 (42.6%) children. Tracheal aspirate growth was observed in 58 (42.6%). Mothers were the primary caregivers in 127 (93.4%). The median (IQR) duration of PICU stay was 28 (20-43.5) days. Forty-nine (36%) children were decannulated. Conclusion: Tracheostomy is a safe procedure in the PICU, and the mortality is mainly due to underlying illness. How to cite this article: Subramani S, Varadarajan P, Rangabashyam N, Jayaraman N, Balaji S, Rajajeyavel JM. Tracheostomy in Children: Experience from a Tertiary Care Center in South India. Indian J Crit Care Med 2025;29(7):592-596.
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