Black T L, Fernandes E T, Carr M G
Department of Pediatric Surgery, University of Tennessee Center for the Health Sciences, Memphis.
J Pediatr Surg. 1988 Feb;23(2):143. doi: 10.1016/s0022-3468(88)80144-1.
Tracheostomy in infants and children is associated with a high rate of accidental decannulation in the early postoperative period. Eighty-eight patients underwent tracheostomy from 1980 to 1985, and 22 were sutured in place. Accidental decannulation occurred in 31.8% of the nonsutured and 4.5% of the sutured tracheostomies. We advocate suturing tracheostomy tubes in place in infants and children and describe a simple suture technique for this purpose.
