International Pediatric Otolaryngology Group (IPOG) survey: Efforts to avoid complications in home tracheostomy care

Christen Caloway; Karthik Balakrishnan; An Boudewyns; Kenny H Chan; Alan Cheng; Sam J Daniel; Pierre Fayoux; Noel Garabedian; Catherine Hart; Eric Moreddu; Harlan Muntz; Richard Nicollas; Roger Nuss; Seth Pransky; Reza Rahbar; John Russell; Mike Rutter; Douglas Sidell; Richard J Smith; Marlene Soma; Jorge Spratley; Dana Thompson; Robert F Ward; Karen Watters; Michelle Wyatt; George Zalzal; Christopher Hartnick

doi:10.1016/j.ijporl.2020.110563

International Pediatric Otolaryngology Group (IPOG) survey: Efforts to avoid complications in home tracheostomy care

Int J Pediatr Otorhinolaryngol. 2021 Feb:141:110563. doi: 10.1016/j.ijporl.2020.110563. Epub 2020 Dec 18.

Authors

Christen Caloway¹, Karthik Balakrishnan², An Boudewyns³, Kenny H Chan⁴, Alan Cheng⁵, Sam J Daniel⁶, Pierre Fayoux⁷, Noel Garabedian⁸, Catherine Hart⁹, Eric Moreddu¹⁰, Harlan Muntz¹¹, Richard Nicollas¹⁰, Roger Nuss¹², Seth Pransky¹³, Reza Rahbar¹², John Russell¹⁴, Mike Rutter⁹, Douglas Sidell², Richard J Smith¹⁵, Marlene Soma¹⁶, Jorge Spratley¹⁷, Dana Thompson¹⁸, Robert F Ward¹⁹, Karen Watters²⁰, Michelle Wyatt²¹, George Zalzal²², Christopher Hartnick²³

Affiliations

¹ Department of Otolaryngology - Head and Neck Surgery, Rutgers New Jersey Medical School, Newark, NJ, USA.
² Stanford University, Stanford, CA, USA.
³ Department of Otorhinolaryngology, Head and Neck Surgery, Antwerp University Hospital, University of Antwerp, Belgium.
⁴ Children's Hospital Colorado, Aurora, CO, USA.
⁵ The Children's Hospital at Westmead, Sydney, Australia.
⁶ Montreal Children's Hospital, McGill University, Montreal, Canada.
⁷ Department of Pediatric Otolaryngology-Head Neck Surgery, Jeanne de Flandre Hospital, CHU Lille, Université de Lille, Lille, France.
⁸ Pediatric ENT Department, Ho^pital Necker-Enfants Malades, AP-HP, Université Paris Descartes, Paris, France.
⁹ Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
¹⁰ Department of Pediatric Otorhinolaryngology - Head and Neck Surgery - La Timone Children's Hospital, Aix-Marseille Universite, Marseille, France.
¹¹ Division of Otolaryngology-Head and Neck Surgery, University of Utah School of Medicine, UT, USA.
¹² Department of Otolaryngology and Communication Enhancement, Boston Children's Hospital, Boston, MA, USA; Department of Otology and Laryngology, Harvard Medical School, Boston, MA, United States.
¹³ Rady Children's Hospital San Diego, San Diego, CA, USA.
¹⁴ Children's Health Ireland (Crumlin), Dublin, Ireland.
¹⁵ University of Iowa Hospitals and Clinics, Iowa City, IA, USA.
¹⁶ Sydney Children's Hospital, Sydney, Australia.
¹⁷ Hospital S. João Center, Univ. of Porto Faculty of Medicine, Cintesis, Porto, Portugal.
¹⁸ Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
¹⁹ NYU Langone Medical Center, New York, NY, USA.
²⁰ Department of Otolaryngology and Communication Enhancement, Boston Children's Hospital, Boston, MA, USA.
²¹ Great Ormond Street Hospital, London, UK.
²² Children's National Medical Center, Washington, DC, USA.
²³ Department of Otolaryngology - Head and Neck Surgery, Massachusetts Eye and Ear Infirmary, Boston, MA, USA. Electronic address: christopher_hartnick@meei.harvard.edu.

PMID: 33360407
DOI: 10.1016/j.ijporl.2020.110563

Abstract

Objective: To provide guidance for home care tracheostomy management in the pediatric population. The mission of the IPOG is to develop expertise-based recommendations for the management of pediatric otolaryngologic disorders with the goal of improving patient care.

Methods: Survey of expert opinion by the members of the International Pediatric Otolaryngology Group (IPOG).

Results: Survey results provide guidance for caregiver teaching, the reuse of tracheostomies and suction catheters while inpatient and following discharge, acceptable sterilization practices for tracheostomies, tracheitis workup and management, and outpatient follow-up practices.

Conclusion: This presentation of common home tracheostomy care practices are aimed at improving patient-centered care in the pediatric population.

MeSH terms

Child
Home Care Services*
Humans
Otolaryngology*
Patient-Centered Care
Surveys and Questionnaires
Tracheostomy / adverse effects