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- W2581390296 abstract "Amac: Bu calismada daha onceden farkli nedenlerle trakeotomi uygulanmis 25 pediatrik hasta ele alindi. Endikasyonlar, komplikasyonlar ve elde edilen sonuclar degerlendirildi. Cocuklarda trakeotomi uygulamasi hakkinda deneyimlerimizi paylasmayi ve ozellikle kulak burun bogaz ve pediatri kliniklerinde gorev yapan hekimlere bu konu ile ilgili fikir vermeyi amacladik. Gerec ve Yontem: 2006 ve 2015 yillari arasinda trakeotomi uygulanan 25 cocuk hasta (n=17, 68% erkek; n=8, 32% kiz) retrospektif olarak degerlendirildi. Trakeotomi endikasyonlari, erken ve gec komplikasyonlar, dekanulasyon suresi ve trakeotomi sonrasi akibetleri kaydedildi. Bulgular: En sik trakeotomi endikasyonu uzun entubasyon suresi idi (n=19, 76%). Solunum yetmezligi (n=9, 36%), noromuskuler hastaliklar (n=4, 16%), buyuk cerrahi sonrasi surec (n=3, 12%) ve enfeksiyon / sepsis iliskili hastaliklar (n=2, 3.8%) uzun entubasyona neden olan durumlardi. Trakeotomi 6 (%24) cocuk hastada ust hava yolu obstruksiyonu nedeni ile uygulandi. Ortalama entubasyon suresi 18.7±15 gun idi. Erken ve gec komplikasyon oranlari her ikisi de %8 idi. Dekanulasyon basarisina 8 (%32) cocukta ulasildi. Trakeotomi sonrasi ortalama dekanulasyon suresi 29.4±20.8 gun idi. Trakeotomi sonrasi hayatini kaybeden hasta sayisi 12 (48%) idi. Sonuc: Biz cocuklarda trakeotomi endikasyonlari, komplikasyonlari ve sonuclarini ele alarak bu konuda guncel bir bilgi sunmayi hedefledik. Aim: In this study 25 pediatric patients that underwent tracheotomy due to different reasons were evaluated and the indications, complications due to tracheotomy and the results after the procedure were detected. We wanted to share our experience about the use of tracheotomy in children and aimed to give an idea to clinicians especially those working in Otolaryngology and Pediatric departments. Materials and Methods: Twenty five children patients (n=17, 68% boys; n=8, 32% girls) applied tracheotomy between 2006 and 2015 were analyzed retrospectively. The indications of tracheotomy, early and late complications, the time of decannulation and results after tracheotomy were recorded. Findings: Prolonged intubation was the most common indication (n=19, 76%) for tracheotomy. Respiratory failure (n=9, 36%), neuromuscular diseases (n=4, 16%), postoperative period following major surgery (n=3, 12%) and infection/sepsis related diseases (n=2, 3.8%) were the causes of prolonged intubation. Tracheotomy was performed for upper airway obstruction in 6 (24%) children. The mean intubation time was 18.7±15 days. Early and late complication rates were 8% and 8%, respectively. Decannulation success was observed in 8 children (32%). Mean decannulation time after tracheotomy was 29.4±20.8 days in the patients. The number of patients died after tracheotomy was 12 (48%). Conclusion: We tried to detect the indications, complications due to tracheotomy and the results after the procedure in children and aimed to give an up-to-date information." @default.
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- W2581390296 date "2015-06-01" @default.
- W2581390296 modified "2023-10-01" @default.
- W2581390296 title "Pediatrik Trakeostomi: 25 Vakanın Endikasyon ve Komplikasyon AnaliziPediatric Tracheotomy: Indication and Complication Analysis of 25 Cases" @default.
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