The Journal of Thoracic and Cardiovascular Surgery
Volume 141, Issue 2 , Pages 413-418 , February 2011

Tracheostomy after pediatric cardiac surgery: Frequency, indications, and outcomes

  • Timothy Cotts, MD

      Affiliations

    • Division of Cardiology, Department of Pediatrics, University of Michigan Medical School, Ann Arbor, Mich
    • Corresponding Author InformationAddress for reprints: Timothy Cotts, MD, L1242 Women's Box 5204, 1500 E Medical Center Dr, Ann Arbor, MI 48109-5204.
    • ,
  • Jennifer Hirsch, MD, MS

      Affiliations

    • Section of Cardiac Surgery, Department of Surgery, University of Michigan Medical School, Ann Arbor, Mich
    • ,
  • Marc Thorne, MD, MPH

      Affiliations

    • Division of Pediatric Otolaryngology, Department of Otolaryngology, University of Michigan Medical School, Ann Arbor, Mich
    • ,
  • Robert Gajarski, MD

      Affiliations

    • Division of Cardiology, Department of Pediatrics, University of Michigan Medical School, Ann Arbor, Mich

Received 18 February 2010 ,Revised 30 April 2010 ,Accepted 20 June 2010.

References 

  1. Bandla HP, Hopkins RL, Beckerman RC, Gozal D. Pulmonary risk factors compromising postoperative recovery after surgical repair for congenital heart disease. Chest. 1999;116:740–747
  2. Brown KL, Ridout DA, Goldman AP, Hoskote A, Penny DJ. Risk factors for long intensive care unit stay after cardiopulmonary bypass in children. Crit Care Med. 2003;31:28–33
  3. Székely A, Sápi E, Király L, Szatmári A, Dinya E. Interoperative and postoperative risk factors for prolonged mechanical ventilation after pediatric cardiac surgery. Paediatr Anaesth. 2006;16:1166–1175
  4. Kanter RK, Bove EL, Tobin JR, Zimmerman JJ. Prolonged mechanical ventilation of infants after open heart surgery. Critical Care Med. 1986;14:211–214
  5. Shi S, Zhao Z, Liu X, Shu Q, Tan L, Lin R. Perioperative risk factors for prolonged mechanical ventilation following cardiac surgery in neonates and young infants. Chest. 2008;134:768–774
  6. Hsu CL, Chen KY, Chang CH, Jerng JS, Yu CJ, Yang PC. Timing of tracheostomy as a determinant of weaning success in critically ill patients: a retrospective study. Crit Care. 2005;9:R46–R52
  7. Hoskote A, Cohen G, Goldman A, Shekerdemian L. Tracheostomy in infants and children after cardiothoracic surgery: indications, associated risk factors, and timing. J Thorac Cardiovasc Surg. 2005;130:1086–1093
  8. LoTempio MM, Shapiro NL. Tracheostomy tube placement in children following cardiothoracic surgery: indications and outcomes. Am J Otolaryngol. 2002;23:337–340
  9. Rossi AF, Fishberger S, Hannan RL, Nieves JA, Bolivar J, Dobrolet N, et al. Frequency and indications for tracheostomy and gastrostomy after congenital heart surgery. Pediatr Cardiol. 2009;30:225–231
  10. Chen Q, Langton-Hewer S, Marriage S, Hayes A, Caputo M, Pawade A, et al. Influence of tracheobronchomalacia on outcome of surgery in children with congenital heart disease and its management. Ann Thorac Surg. 2009;88:1970–1974
  11. Bertrand P, Navarro H, Caussade S, Holmgren N, Sanchez I. Airway anomalies in children with Down syndrome: endoscopic findings. Pediatr Pulmonol. 2003;36:137–141
  12. Huang RY, Shapiro NL. Structural airway anomalies in patients with DiGeorge syndrome: a current review. Am J Otolaryngol. 2000;21:326–330
  13. Skinner ML, Halstead LA, Rubinstein CS, Atz AM, Andrews D, Bradley SM. Laryngeal dysfunction after the Norwood procedure. J Thorac Cardiovasc Surg. 2005;130:1293–1301
  14. Akay TH, Ozkan S, Gultekin B, Uguz E, Varan B, Sezgin A, et al. Diaphragmatic paralysis after cardiac surgery in children: incidence, prognosis, and surgical management. Pediatr Surg Int. 2006;22:341–346
  15. De Leeuw M, Williams JM, Freedom RM, Williams WG, Shemie SD, McCrindle BW. Impact of diaphragmatic paralysis after cardiothoracic surgery in children. J Thorac Cardiovasc Surg. 1999;118:510–517
  16. Joho-Arreola AL, Bauersfeld U, Stauffer UG, Baenziger O, Bernet V. Incidence and treatment of diaphragmatic paralysis after cardiac surgery in children. Eur J Cardiothorac Surg. 2005;27:53–57
  17. Ovroutski S, Alexi-Meskishvili V, Stiller B, Ewert P, Abdul-Khaliq H, Lemmer J, et al. Paralysis of the phrenic nerve as a risk factor for suboptimal Fontan hemodynamics. Eur J Cardiothorac Surg. 2005;27:561–565
  18. Blot F, Similowski T, Trouillet J, Chardon P, Korach J, Marie-Alyette C, et al. Early tracheotomy versus prolonged endotracheal intubation in unselected severely ill ICU patients. Intensive Care Med. 2008;34:1779–1787
  19. Rumbak MJ, Newton M, Truncale T, Schwartz SW, Adams JW, Hazard PB. A prospective, randomized study comparing early percutaneous dilational tracheotomy to prolonged translaryngeal intubation (delayed tracheotomy) in critically ill medical patients. Crit Care Med. 2004;32:1689–1694
  20. Bacha EA, Daves S, Hardin J, Abdulla R, Anderson J, Kahana M, et al. Single-ventricle palliation for high-risk neonates: the emergence of an alternative hybrid stage I strategy. J Thorac Cardiovasc Surg. 2006;131:163–171
  21. Pizarro C, Murdison KA, Derby CD, Radtke W. Stage II reconstruction after hybrid palliation for high-risk patients with a single ventricle. Ann Thorac Surg. 2008;85:1382–1388

 Disclosures: Authors have nothing to disclose with regard to commercial support.

PII: S0022-5223(10)00676-8

doi: 10.1016/j.jtcvs.2010.06.027

The Journal of Thoracic and Cardiovascular Surgery
Volume 141, Issue 2 , Pages 413-418 , February 2011

Article Tools

* Image Usage & Resolution