Document Detail


Tracheostomy: acute and long-term mortality and morbidity in very low birth weight premature infants.
MedLine Citation:
PMID:  8229557     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Thirty-six very low birth weight premature infants (VLBW-PT) born at 24 to 32 weeks gestation and with birth weights 635 to 1,360 g who had tracheostomies performed for acquired subglottic stenosis or for prolonged mechanical ventilation were followed in relation to acute and long-term mortality and morbidity. Mortality due to the tracheostomy occurred in 4 patients (11%); mortality from all other causes was 25%. Death after hospital discharge was associated with the nonuse of prescribed cardiorespiratory monitors. Complications < 1 week postsurgery occurred in 31% of infants and complications > or = 1 week postsurgery occurred in 64% of infants. Fifty percent of infants required tracheostomy for > 2 years and/or extensive reconstructive surgery of the airway. Parents should be counselled that VLBW-PT infants with a tracheostomy may require extended medical and home care. An effective home care program requires parental training in tracheostomy care, the use of ancillary equipment, and infant cardiopulmonary resuscitation.
Authors:
J S Schlessel; R G Harper; H Rappa; K Kenigsberg; S Khanna
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of pediatric surgery     Volume:  28     ISSN:  0022-3468     ISO Abbreviation:  J. Pediatr. Surg.     Publication Date:  1993 Jul 
Date Detail:
Created Date:  1993-12-07     Completed Date:  1993-12-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0052631     Medline TA:  J Pediatr Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  873-6     Citation Subset:  IM    
Affiliation:
Department of Pediatrics, North Shore University Hospital-Cornell University Medical College, Manhasset, NY 11030.
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MeSH Terms
Descriptor/Qualifier:
Female
Follow-Up Studies
Humans
Infant
Infant, Low Birth Weight*
Infant, Newborn
Infant, Premature*
Laryngostenosis / etiology,  mortality,  surgery*
Male
Morbidity
Postoperative Complications / epidemiology
Respiration, Artificial / adverse effects
Retrospective Studies
Time Factors
Tracheostomy* / mortality

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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