Avelino Melissa A G, Maunsell Rebecca, Valera Fabiana Cardoso Pereira, Lubianca Neto José Faibes, Schweiger Cláudia, Miura Carolina Sponchiado, Chen Vitor Guo, Manrique Dayse, Oliveira Raquel, Gavazzoni Fabiano, Picinin Isabela Furtado de Mendonça, Bittencourt Paulo, Camargos Paulo, Peixoto Fernanda, Brandão Marcelo Barciela, Sih Tania Maria, Anselmo-Lima Wilma Terezinha
Universidade Federal de São Paulo (UNIFESP), Escola Paulista de Medicina (EPM), São Paulo, SP, Brazil; Universidade Federal de Goiás (UFG), Goiânia, GO, Brazil; Pontifícia Universidade Católica de Goiás (PUC-GO), Goiânia, GO, Brazil; Universidade Federal de Goiás (UFG), Hospital das Clínicas, Unidade de Cabeça e Pescoço, Goiânia, GO, Brazil.
Universidade Estadual de Campinas (UNICAMP), Faculdade de Ciências Médicas, Departamento de Oftalmo/Otorrinolaringologia, Campinas, SP, Brazil.
Braz J Otorhinolaryngol. 2017 Sep-Oct;83(5):498-506. doi: 10.1016/j.bjorl.2017.06.002. Epub 2017 Jun 27.
Tracheostomy is a procedure that can be performed in any age group, including children under 1year of age. Unfortunately health professionals in Brazil have great difficulty dealing with this condition due to the lack of standard care orientation.
This clinical consensus by Academia Brasileira de Otorrinolaringologia Pediátrica (ABOPe) and Sociedade Brasileira de Pediatria (SBP) aims to generate national recommendations on the care concerning tracheostomized children.
A group of experts experienced in pediatric tracheostomy (otorhinolaryngologists, intensive care pediatricians, endoscopists, and pediatric pulmonologists) were selected, taking into account the different regions of Brazil and following inclusion and exclusion criteria.
The results generated from this document were based on the agreement of the majority of participants regarding the indications, type of cannula, surgical techniques, care, and general guidelines and decannulation.
These guidelines can be used as directives for a wide range of health professionals across the country that deal with tracheostomized children.
气管切开术是一种可在任何年龄组实施的手术，包括1岁以下儿童。不幸的是，由于缺乏标准的护理指南，巴西的卫生专业人员在处理这种情况时面临很大困难。
巴西儿科学会耳鼻喉科（ABOPe）和巴西儿科学会（SBP）的这份临床共识旨在就气管切开儿童的护理制定国家建议。
根据巴西不同地区，选取一组在儿科气管切开术方面经验丰富的专家（耳鼻喉科医生、重症监护儿科医生、内镜医生和儿科肺科医生），并遵循纳入和排除标准。
本文件产生的结果基于大多数参与者在适应症、套管类型、手术技术、护理、一般指南和拔管方面的共识。
这些指南可作为全国范围内处理气管切开儿童的广泛卫生专业人员的指导方针。
