Experiencia clínica en el manejo domiciliario de niños traqueostomizados

Background: Home care of tracheostomized children is considered a safe and low-cost alternative. Aim: To report the experience with tracheostomized children at the Pediatric Respiratory Unit of the Catholic University Hospital. Patients and methods: The records of 16 children (9 male) with tracheost...

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Autores principales: Caussade L,Solange, Paz C,Fernando, Ramírez A,Milena, Navarro M,Héctor, Bertrand N,Pablo, Zúñiga R,Sergio, Fierro S,Silvia, Sánchez D,Ignacio
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2000
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872000001100006
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spelling oai:scielo:S0034-988720000011000062001-01-29Experiencia clínica en el manejo domiciliario de niños traqueostomizadosCaussade L,SolangePaz C,FernandoRamírez A,MilenaNavarro M,HéctorBertrand N,PabloZúñiga R,SergioFierro S,SilviaSánchez D,Ignacio Child health services Home care services hospital based Tracheostomy Background: Home care of tracheostomized children is considered a safe and low-cost alternative. Aim: To report the experience with tracheostomized children at the Pediatric Respiratory Unit of the Catholic University Hospital. Patients and methods: The records of 16 children (9 male) with tracheostomy (TQ) in home care between 1992 and 1998 were reviewed. Results: The average age at the moment of TQ was 9 months (range 1-30 months) and the postoperative hospital management period was 5 months (range 1-11 months). The average age at discharge was 13 months (range 3 to 30 months). Surgical indication were upper airway obstruction (congenital or acquired subglotic stenosis in three, upper airway malformations in one, vocal cord palsy in one and tracheobronchomalacia in one) and chronic assisted ventilation (severe tracheobronchomalacia in four, pulmonary hypoplasia in two, myopathy in one, central nervous injury in one and bronchopulmonary displasia in one). Overall rate complications were 2 per 100 tracheostomy months during home care and 8 per 100 tracheostomy months during hospital care. No tracheostomy-related deaths were observed. A parenteral education program to teach about tracheostomy management and cardiopulmonary resuscitation was carried out. Conclusions: Tracheostomized children can be safely managed at home (Rev Méd Chile 2000; 128: 1221-26)info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.128 n.11 20002000-11-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872000001100006es10.4067/S0034-98872000001100006
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Child health services
Home care services
hospital based
Tracheostomy
spellingShingle Child health services
Home care services
hospital based
Tracheostomy
Caussade L,Solange
Paz C,Fernando
Ramírez A,Milena
Navarro M,Héctor
Bertrand N,Pablo
Zúñiga R,Sergio
Fierro S,Silvia
Sánchez D,Ignacio
Experiencia clínica en el manejo domiciliario de niños traqueostomizados
description Background: Home care of tracheostomized children is considered a safe and low-cost alternative. Aim: To report the experience with tracheostomized children at the Pediatric Respiratory Unit of the Catholic University Hospital. Patients and methods: The records of 16 children (9 male) with tracheostomy (TQ) in home care between 1992 and 1998 were reviewed. Results: The average age at the moment of TQ was 9 months (range 1-30 months) and the postoperative hospital management period was 5 months (range 1-11 months). The average age at discharge was 13 months (range 3 to 30 months). Surgical indication were upper airway obstruction (congenital or acquired subglotic stenosis in three, upper airway malformations in one, vocal cord palsy in one and tracheobronchomalacia in one) and chronic assisted ventilation (severe tracheobronchomalacia in four, pulmonary hypoplasia in two, myopathy in one, central nervous injury in one and bronchopulmonary displasia in one). Overall rate complications were 2 per 100 tracheostomy months during home care and 8 per 100 tracheostomy months during hospital care. No tracheostomy-related deaths were observed. A parenteral education program to teach about tracheostomy management and cardiopulmonary resuscitation was carried out. Conclusions: Tracheostomized children can be safely managed at home (Rev Méd Chile 2000; 128: 1221-26)
author Caussade L,Solange
Paz C,Fernando
Ramírez A,Milena
Navarro M,Héctor
Bertrand N,Pablo
Zúñiga R,Sergio
Fierro S,Silvia
Sánchez D,Ignacio
author_facet Caussade L,Solange
Paz C,Fernando
Ramírez A,Milena
Navarro M,Héctor
Bertrand N,Pablo
Zúñiga R,Sergio
Fierro S,Silvia
Sánchez D,Ignacio
author_sort Caussade L,Solange
title Experiencia clínica en el manejo domiciliario de niños traqueostomizados
title_short Experiencia clínica en el manejo domiciliario de niños traqueostomizados
title_full Experiencia clínica en el manejo domiciliario de niños traqueostomizados
title_fullStr Experiencia clínica en el manejo domiciliario de niños traqueostomizados
title_full_unstemmed Experiencia clínica en el manejo domiciliario de niños traqueostomizados
title_sort experiencia clínica en el manejo domiciliario de niños traqueostomizados
publisher Sociedad Médica de Santiago
publishDate 2000
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872000001100006
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AT pazcfernando experienciaclinicaenelmanejodomiciliariodeninostraqueostomizados
AT ramirezamilena experienciaclinicaenelmanejodomiciliariodeninostraqueostomizados
AT navarromhector experienciaclinicaenelmanejodomiciliariodeninostraqueostomizados
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AT fierrossilvia experienciaclinicaenelmanejodomiciliariodeninostraqueostomizados
AT sanchezdignacio experienciaclinicaenelmanejodomiciliariodeninostraqueostomizados
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