Yaneza M M C, James H L, Davies P, Harrison S, McAlorum L, Clement W A, Kubba H
Department of Otolaryngology,The Royal Hospital for Sick Children (Yorkhill),Glasgow,UK.
University of Glasgow Medical School, Glasgow University,Scotland,UK.
J Laryngol Otol. 2015 Sep;129(9):882-6. doi: 10.1017/S0022215115001140.
This paper presents our experience of managing children with a tracheostomy in a multidisciplinary team clinic consisting of an ENT consultant, paediatric respiratory consultant, a nurse specialist, and speech and language therapist.
A retrospective case note review was conducted of all children seen in the multidisciplinary team tracheostomy clinic (at a tertiary paediatric hospital) between February 2009 and September 2014.
Ninety-seven patients were examined. The most common indications for tracheostomy were: lower airway and respiratory problems (66 per cent), upper airway obstruction (64 per cent), and neurodevelopmental problems (60.8 per cent).
Children with a tracheostomy are a diverse group of patients. The most common indications for paediatric tracheostomy have changed from infective causes to airway obstruction and anomalies, long-term ventilation requirement, and underlying neuromuscular or respiratory problems. Our unified approach empowers the carers and patient, as a home management plan, long-term plan and goals are generated at the end of each appointment.
本文介绍了我们在一个由耳鼻喉科顾问、儿科呼吸顾问、专科护士以及言语和语言治疗师组成的多学科团队诊所中管理气管造口术患儿的经验。
对2009年2月至2014年9月期间在一家三级儿科医院的多学科团队气管造口术诊所就诊的所有患儿进行回顾性病例记录审查。
共检查了97例患者。气管造口术最常见的指征为：下呼吸道和呼吸问题（66%）、上呼吸道梗阻（64%）以及神经发育问题（60.8%）。
气管造口术患儿是一个多样化的患者群体。儿科气管造口术最常见的指征已从感染性病因转变为气道梗阻和畸形、长期通气需求以及潜在的神经肌肉或呼吸问题。我们的统一方法增强了护理人员和患者的能力，因为每次预约结束时都会制定家庭管理计划、长期计划和目标。
