Pediatric Tracheostomy

To treat upper airway obstruction, prolonged ventilation, abnormal ventilatory drive, and irreversible neuromuscular conditions, tracheostomies are increasingly being performed on children with complex medical conditions. The study of paediatric tracheostomy indications, tracheostomy operation procedures, and associated problems in the paediatric population are covered in this exercise, which also emphasises the need for the interprofessional team in caring for tracheostomized children.

Respiratory System

The upper airway and the lower airway are the two components that make up the body’s respiratory system. The upper airway is made up of the nose, mouth, throat, and larynx. The windpipes (trachea), air tubes (bronchi), and air sacs are all part of the lower airway (alveoli). 

The mucus membrane that lines the inside of the nose has many blood veins close to the surface. As air moves through the nose, warmth and moisture are absorbed by the blood vessels. This is crucial because dry, chilly air aggravates the lungs. There are also small hairs lining the nose (called cilia). Before the air enters the lungs and throat, the cilia remove dust and debris.

The air is not as warm and moisturized via the mouth as it is by the nose. Additionally, the mouth lacks cilia, which would normally filter out dust and dirt.

The pharynx is where the air enters after passing via the mouth or nose. Behind the nose and mouth, at the top of the throat, is the pharynx. The vocal cords are in the voice box, which is the other portion of the neck, or larynx. The vocal cords move when air from the lungs and travels through the larynx. When you speak, the vibration creates the sounds.

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Shiley pediatric tracheostomy tube used for and by:

Shiley™ neonatal and pediatric tracheostomy solutions incorporate a wide range of simple and smart design advances to improve the healthcare experience for both patients and clinicians.

These clinician-inspired solutions include:

Flange distinction for neonatal or pediatric patients

A unique pediatric cuff design

Comfort recess on the bottom of the connector to help reduce inferior stoma irritation

The transparent soft flange that supports patient comfort and visualization of the skin below

Softer material and expanded size options, compared to previous Shiley™ tracheostomy products

To help clinicians manage ventilator-dependent patients, the low-profile, low pressure low-pressured™ cuff on the Shiley™ neonatal and pediatric tracheostomy tubes:

Reduces fluid leakage by an average of >94.8% at similar or lower intracuff pressure.

Significantly improves the management of the airway leak at pressures below 25 cm H2O.

Reduces removal force by 58.3% compared to the previous barrel-shaped cuff — reducing the potential for stoma irritation or damage during removal.

Joya Medical Supplies provides specifications of Shiley pediatric tracheostomy tube, which helps you to buy the right product.

  • Non-DEHP material
  • Child-safe pilot balloon
  • Soft, clear neck flange: tube’s transparent flange allows for enhanced visualization of the underlying skin and stoma site.
  • Varying flange angles: varying flange angles helps provide a better fit for infants and children as they grow.
  • Comfort recess: it helps reduce pressure on the patient’s skin.

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