小児の気管切開カニューレ抜去方法

概要

論文の詳細を見る
Tracheostomy was performed in 48 children with various diseases during the past 16 years in our hospital. We successfully removed tracheostomy cannulae in all of these 31 patients whose respitatory difficulties improved with careful clinical management. Although some patients needed one or more recannulation, decannulaton was finally achieved in all 31 patients. Before the trial of decannulation mechanical airway obstruction was excluded by the rigid bronchoscopic examination. We believe that alteration from tracheostomy to nasal endotracheal intubation for a few days before decannulation was an effective procedure. Sometimes, especially in older children who could not tolerate the nasal endothoracheal intubation, gradual reduction of the cannula size was usefull as well. Unless there is mechanical obstruction, repeated, usually second or third trials of decannulation proved to be successful, even if decannulation once failed. In conclusion, we believed that our procedure re solved many of the difficulties of decannulation of pediatric tracheostomy.
日本小児外科学会の論文
1992-10-20