ISSN : 1301-5680
e-ISSN : 2149-8156
TURKISH JOURNAL OF
THORACIC AND
CARDIOVASCULAR SURGERY
Turkish Journal of Thoracic and Cardiovascular Surgery     
Evaluation of tracheostomy patients in a pediatric cardiac intensive care unit: our five-year single-center experiences
Murat Saygı1, Erkut Öztürk 1, Ömer Özden2, İbrahim Cansaran Tanıdır 1, Okan Yıldız3, Sertaç Haydin3, Mehmet Yeniterzi3, Yakup Ergül 1, Alper Güzeltaş 1, İhsan Bakır3
1Departments of Pediatric Cardiology, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Turkey
2Departments of Pediatric Intensive Care Unit, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Turkey
3Departments of Pediatric Cardiovascular Surgery, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Turkey
DOI : 10.5606/tgkdc.dergisi.2016.12172
Background: In this study, we analyzed the data related to pediatric cardiac intensive care unit patients undergoing tracheostomy.

Methods: A total of 18 patients (10 girls, 8 boys; mean age 9.4±10.5 months; range 2 to 42 months) who were hospitalized in the pediatric cardiac intensive care unit at a single center between January 2010 and January 2015 and who underwent tracheostomy during the hospitalization period were retrospectively analyzed.

Results: At baseline, genetic disorders were identified in three patients. Among 1,450 patients who underwent cardiac surgery, 10 received total correction and eight received palliation. The mean intubation time without tracheostomy was 41.0±12.9 days and the number of extubation attempts was 4.2±0.8. Two patients had neurological damage. No patients developed pneumomediastinum, pneumothorax, wound site infection or mediastinitis following tracheostomy. One patient underwent revision of the tracheostomy site due to bleeding. None of the patients had late tracheostomy complications such as tracheal stenosis during the follow-up period. Six of 18 tracheostomy patients died in the pediatric cardiac intensive care unit and one died at home following discharge (mortality 38.8%). Eight of 12 tracheostomy patients who were discharged underwent decannulation. Three patients are currently under follow-up at home using a home-type ventilator.

Conclusion: Tracheostomy procedures may be performed in patients with prolonged intubation time following cardiac surgery with a low complication rate. However, the morbidity and mortality rates in this patient population still remain high due to several factors implicated in this complicated process.

Keywords : Cardiac surgery; child; pediatric cardiac intensive care unit; prolonged intubation, tracheostomy
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