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• W2151525137 startingPage "162" @default.
• W2151525137 abstract "Vaccination programs, improvements in material engineering and anaesthetic skills have dramatically reduced the number of emergency tracheostomies performed for acute upper airway obstruction. Today, the indication to tracheotomise a child is generally ruled by the anticipation of long-term (cardio)respiratory compromise due to chronic ventilatory or, more rarely, cardiac insufficiency, or by the presence of a fixed upper airway obstruction that is unlikely to resolve for a significant period of time. As many of the younger candidates for tracheostomy have complex medical conditions, the indication for this intervention is often complicated by ethical, funding and socio-economic concerns that necessitate a multidisciplinary approach. Unfortunately, these considerations are frequently not made until the first catastrophe has occurred, even in those patients in whom imminent cardiorespiratory failure has been foreseeable. Non-invasive ventilation via a face mask and newer developments such as the in-exsufflator device have gained importance as an alternative to tracheostomy in selected patients." @default.
• W2151525137 created "2016-06-24" @default.
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• W2151525137 date "2006-09-01" @default.
• W2151525137 modified "2023-10-01" @default.
• W2151525137 title "Indications for tracheostomy in children" @default.
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• W2151525137 doi "https://doi.org/10.1016/j.prrv.2006.06.004" @default.
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