Changing Indications for Paediatric Tracheostomy in a Nigerian Tertiary Hospital.

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dc.contributor.authorOkhakhu, A.L.,
dc.contributor.authorEmma-Nzekwue, N.H.
dc.contributor.authorAfolabi, O.A.,
dc.date.accessioned2020-02-20T07:56:47Z
dc.date.available2020-02-20T07:56:47Z
dc.date.issued2012
dc.descriptionPaediatric Tracheostomy Changing patternen_US
dc.description.abstractBackground – Paediatric tracheostomy is a common surgical procedure whose indications are evolving. This study seeks to establish updated data on the indications, outcome and complications of paediatric tracheostomy as seen in a Nigerian tertiary health institution. Materials and Methods- A retrospective review of medical records of all paediatric patients who had tracheostomy at the University Of Benin Teaching Hospital Benin City between January 2004 and June 2010. Results- A total of 49 children, 25 (51%) females and 24 (49%) males had tracheostomy during the period under review. The age ranged from 11 months to 13 years with mean age of 3.5 ±2.7 years. The indications for tracheostomy were upper airway obstruction secondary to foreign body aspiration 40(81.6%), infections in 8 (16.3%) and prolonged intubation 1 (2%). When compared with a similar study 2 decades ago, a change in the indication for tracheostomy is noted and this was statistically significant with p<0.001. A large proportion of the tracheostomies were done as emergency procedures while 4(8.1%) were elective. The complications encountered were apnoea 8 (16%), accidental decannulation (extubation) 1 (2%), difficult decannulation 4 (8.1%) and tracheocutaneous fistula in 1(2%). Conclusion: The main indication for paediatric tracheostomy is relief of upper airway obstruction secondary to foreign body aspiration.en_US
dc.description.sponsorshipOkhakhu, A.L., Emma-Nzekwue, N.H. Afolabi, O.Aen_US
dc.identifier.citationOkhakhu, A.L., Emma-Nzekwue, N.H. Afolabi, O.A., (2012): Changing Indications for Paediatric Tracheostomy in a Nigerian Tertiary Hospital. Port Harcourt Medical Journal. 6(3);264-268.en_US
dc.identifier.urihttp://hdl.handle.net/123456789/3781
dc.language.isoenen_US
dc.publisherPort Harcourt Medical Journal. An official Journal of College of Health Sciences, University of Port Harcourt, Port Harcourt, Nigeria.en_US
dc.subjectPaediatric tracheostomy;en_US
dc.subjectindication;en_US
dc.subjectemergency;en_US
dc.subjectupper airway obstruction.en_US
dc.titleChanging Indications for Paediatric Tracheostomy in a Nigerian Tertiary Hospital.en_US
dc.typeArticleen_US

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