title: Outcome of tracheostomy after pediatric cardiac surgery.
abstract: OBJECTIVE
  To investigate the incidence, timing indications and outcome of tracheotomy in children who underwent cardiac surgeries.
  
  
  METHODS
  All pediatric cardiac patients (under 14 years of age) who underwent cardiac surgeries and required tracheotomy from November 2000 to November 2010 were reviewed. The data were collected and reviewed retrospectively.
  
  
  RESULTS
  Sixteen children underwent tracheotomy after cardiac surgery. Fifteen of these cases had surgery for congenital heart disease, and one had surgery for an acquired rheumatic mitral valve disease. The mean ± SEMs of the durations of ventilation before and after tracheotomy were 60.4 ± 9.8 and 14.5 ± 4.79 days respectively (P value 0.0002). The means ± SEM of the lengths of ICU stay before and after tracheotomy were 63.31 ± 10.15 and 22 ± 5.4 days respectively (P value 0.0012). After the tracheotomy 12/16 patients (75%) were weaned from their ventilators and 10/16 were discharged from the PCICU. Six patients were discharged from the hospital and 3 were successfully decannulated. The overall survival rate was 9/16 (56%).
  
  
  CONCLUSIONS
  Tracheostomy shortens the duration of mechanical ventilation and facilitates discharge from the ICU. The mortality of tracheotomy patients is still significant but is mainly related to the primary cardiac disease.
authors: Pediatric Cardiology Division, King AbdulAziz Medical City, Riyadh.
authors: Ibrahim J
authors: IJ
authors: Alibrahim
authors: Mohamad S
authors: MS
authors: Kabbani
authors: Riyadh
authors: R
authors: Abu-Sulaiman
authors: Ali
authors: A
authors: Al-Akhfash
authors: Khalid A
authors: KA
authors: Mazrou
keywords: ICU stay; Pediatric cardiac surgery; Tracheostomy; Ventilator associated pneumonia
references: Otolaryngol Head Neck Surg. 2009 Jun;140(6):933-5
references: 19467418
references: Int J Antimicrob Agents. 1998 Aug;10(3):191-205
references: 9832280
references: Int J Pediatr Otorhinolaryngol. 2009 Jul;73(7):999-1001
references: 19443050
references: Saudi Med J. 2004 Sep;25(9):1282-4
references: 15448789
references: J Thorac Cardiovasc Surg. 2005 Oct;130(4):1086-93
references: 16214524
references: Semin Neonatol. 2003 Apr;8(2):127-35
references: 15001149
references: J Pediatr Surg. 2007 Jul;42(7):1251-4
references: 17618889
references: Paediatr Respir Rev. 2006 Sep;7(3):162-8
references: 16938637
references: J Crit Care. 2006 Mar;21(1):56-65
references: 16616625
references: Chest. 1999 Sep;116(3):740-7
references: 10492281