Practical aspects of pediatric tracheotomy care.
Infants and children who manifest respiratory distress secondary to congenital or acquired abnormalities of the airway pose a unique problem that frequently requires a tracheotomy to control the patient's airway. These tracheotomies often are required for extended periods of time. Skilled care and astute observation are essential for the care of these patients while in hospital and at home. Although many of the care concerns relate to nursing and social issues, the otolaryngologist must maintain an active role in the medical management and co-ordination of discharge. This paper provides the otolaryngologist with an outline of the hospital care required for the pediatric tracheotomy patient. Additionally, it offers the otolaryngologist a model program for discharge planning and follow-up for the pediatric tracheotomy patient in the community.
Fitton
C M
CM
Children's Hospital Medical Center, Cincinnati, Ohio 45229.
Myer
C M
CM
D002648:Child; D005190:Family; D006266:Health Education / Q000379:methods*; D006701:Home Nursing; D006801:Humans; D007223:Infant; D010347:Patient Care Planning; D010348:Patient Care Team; D010353:Patient Education as Topic; D014140:Tracheotomy / Q000451:nursing*