International Pediatric Otolaryngology Group (IPOG) consensus recommendations: Routine peri-operative pediatric tracheotomy care

https://doi.org/10.1016/j.ijporl.2016.03.029Get rights and content

Abstract

Objectives

To develop consensus recommendations for peri-operative tracheotomy care in pediatric patients.

Methods

Expert opinion by the members of the International Pediatric Otolaryngology Group (IPOG). The mission of the IPOG is to develop expertise-based consensus recommendations for the management of pediatric otolaryngologic disorders with the goal of improving patient care. The consensus recommendations herein represent the first publication by the group.

Results

Consensus recommendations including pre-operative, intra-operative, and post-operative considerations, as well as sedation and nutrition management are described. These recommendations are based on the collective opinion of the IPOG members and are targeted to (i) otolaryngologists who perform tracheotomies on pediatric patients, (ii) intensivists who are involved in the shared-care of these patients, and (iii) allied health professionals.

Conclusion

Pediatric peri-operative tracheotomy care consensus recommendations are aimed at improving patient-centered care in this patient population.

Section snippets

Objectives

To present consensus recommendations on routine peri-operative tracheotomy care for pediatric patients including pre-operative, intra-operative, and post-operative considerations, as well as sedation and nutrition management.

Target population

Pediatric patients with newly placed tracheotomies.

Intended users

These consensus recommendations are targeted for:

  • 1.

    Otolaryngologists who perform tracheotomies on pediatric patients.

  • 2.

    Intensivists who are involved in the shared-care of pediatric patients with new tracheotomies.

  • 3.

    Allied health professionals, including respiratory therapists, dieticians, and nurses, who manage patients with new tracheotomies.

Recommendations and justification

The recommendations are outlined in the following subheadings:

  • 1.

    Pre-operative considerations

  • 2.

    Intra-operative considerations

  • 3.

    Comprehensive post-operative care algorithm

  • 4.

    Sedation algorithm

  • 5.

    Enteral feeding algorithm

  • 6.

    Tracheotomy bedside information sheet (example)

Disclaimer

This report has been prepared by the members of the International Pediatric Otolaryngology Group (IPOG). A number of international experts in the field of Pediatric Otolaryngology joined to form the group. The mission of the IPOG is to develop expertise-based consensus recommendations for the management of pediatric otolaryngologic disorders with the goal of improving patient care. Consensus recommendations are based on the collective opinion of the members of the group. Any person seeking to

Conflict of interest

None.

Acknowledgments

The IPOG would like to thank Drs. Reza Rahbar (senior author) and Julie Strychowsky (first author) for taking the lead in the drafting of these consensus recommendations. All remaining authors are listed in alphabetical order. The authorship list follows the agreement of the members of the IPOG. All authors have contributed to the conception and design of the work, drafting and revising the consensus recommendations for important intellectual content, final approval of the version to be

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