Indication for Tracheostomy in Children with Stridor in Hilla City

Lafta Witwit, Maitham

	Indication for Tracheostomy in Children with Stridor in Hilla City
Medical Journal of Babylon
Article 1, Volume 3, Issue 3, 2006, Pages 190-193
Author
Maitham Lafta Witwit
Abstract
This a retrospective study was done in Hilla general Teaching Hospital from Sept 2000 to Sept. 2005 for children presented with stridor, age of children below 5 years . 32 cases collected , 20 meal and 12 female, 2/3 of them referred from pediatric Hilla general teaching hospital as case of stridor need tracheostomy , 70% of cases have history of flue in last few days , we divided those 32 in to 2 groups : 1. Those with sever air way obstruction need Immediate establishment of the air way by Intubation or Bronchoscopy then might be tracheostomised. 2. Those with mild to moderate stridor need to be followed by close absoarvation including time , colure , general condition, Pulse rate (PR) , respiratory rate(RR), Temper. and Po 2 . Most of this group respond to supportive measure like antibiotic , IV fluid, O 2 , humidified air , steroid . This medical Treatment cure 23 case . All of the cases with sever stridor need intubation (11 cases ) , tracheostomy done in 7 cases of them . Most of the studies abroad show that children with stridor can tolerate intubation ( Rapid sequence intubation , mostly done by resident Dr's ) for long period without complication and the indication of tracheostomy decrease to the minimum . In our study, the high incidence of tracheostomy due to lac of optimum Pediatric Respiratory Care Unit in our Hospital & lac of good traind staff to deal with endotracheal tube & its complication.

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