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国际儿科耳鼻喉科学组(IPOG)管理建议:小儿气管切开套管拔管。

International Pediatric Otolaryngology Group (IPOG) management recommendations: Pediatric tracheostomy decannulation.

机构信息

Division of Pediatric Otolaryngology-Head and Neck Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.

Division of Pediatric Otolaryngology-Head and Neck Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA; Department of Otolaryngology Head and Neck Surgery, University of Cincinnati College of Medicine, Cincinnati, OH, USA.

出版信息

Int J Pediatr Otorhinolaryngol. 2021 Feb;141:110565. doi: 10.1016/j.ijporl.2020.110565. Epub 2020 Dec 15.

Abstract

OBJECTIVES

To provide recommendations to otolaryngologists, pulmonologists, and allied clinicians for tracheostomy decannulation in pediatric patients.

METHODS

An iterative questionnaire was used to establish expert recommendations by the members of the International Pediatric Otolaryngology Group.

RESULTS

Twenty-six members completed the survey. Recommendations address patient criteria for decannulation readiness, airway evaluation prior to decannulation, decannulation protocol, and follow-up after both successful and failed decannulation.

CONCLUSION

Tracheostomy decannulation recommendations are aimed at improving patient-centered care, quality and safety in children with tracheostomies.

摘要

目的

为耳鼻喉科医生、肺病学家和相关临床医生提供小儿气管切开套管拔管的建议。

方法

采用迭代式问卷,由国际小儿耳鼻喉科专家组的成员制定专家建议。

结果

26 名成员完成了调查。建议涉及拔管准备的患者标准、拔管前气道评估、拔管方案以及拔管成功和失败后的随访。

结论

气管切开套管拔管建议旨在改善小儿气管切开患者的以患者为中心的护理、质量和安全性。

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