International Pediatric Otolaryngology Group (IPOG) management recommendations: Pediatric tracheostomy decannulation

Aimee Kennedy; Catherine K Hart; Alessandro de Alarcon; Karthik Balakrishnan; An Boudewyns; Robert Chun; Pierre Fayoux; Steven L Goudy; Christopher Hartnick; Wei-Chung Hsu; Romaine F Johnson; Michael Kuo; Shazia Peer; Seth M Pransky; Reza Rahbar; Scott Rickert; Soham Roy; John Russell; Kishore Sandu; Douglas R Sidell; Richard J Smith; Marlene Soma; Jorge Spratley; Briac Thierry; Dana M Thompson; Marilena Trozzi; Karen Watters; David R White; Michelle Wyatt; George H Zalzal; Carlton J Zdanksi; Karen B Zur; Michael J Rutter

doi:10.1016/j.ijporl.2020.110565

International Pediatric Otolaryngology Group (IPOG) management recommendations: Pediatric tracheostomy decannulation

Int J Pediatr Otorhinolaryngol. 2021 Feb:141:110565. doi: 10.1016/j.ijporl.2020.110565. Epub 2020 Dec 15.

Authors

Aimee Kennedy¹, Catherine K Hart², Alessandro de Alarcon³, Karthik Balakrishnan⁴, An Boudewyns⁵, Robert Chun⁶, Pierre Fayoux⁷, Steven L Goudy⁸, Christopher Hartnick⁹, Wei-Chung Hsu¹⁰, Romaine F Johnson¹¹, Michael Kuo¹², Shazia Peer¹³, Seth M Pransky¹⁴, Reza Rahbar¹⁵, Scott Rickert¹⁶, Soham Roy¹⁷, John Russell¹⁸, Kishore Sandu¹⁹, Douglas R Sidell⁴, Richard J Smith²⁰, Marlene Soma²¹, Jorge Spratley²², Briac Thierry²³, Dana M Thompson²⁴, Marilena Trozzi²⁵, Karen Watters¹⁵, David R White²⁶, Michelle Wyatt²⁷, George H Zalzal²⁸, Carlton J Zdanksi²⁹, Karen B Zur³⁰, Michael J Rutter³

Affiliations

¹ Division of Pediatric Otolaryngology-Head and Neck Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
² Division of Pediatric Otolaryngology-Head and Neck Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA; Department of Otolaryngology Head and Neck Surgery, University of Cincinnati College of Medicine, Cincinnati, OH, USA. Electronic address: Catherine.hart@cchmc.org.
³ Division of Pediatric Otolaryngology-Head and Neck Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA; Department of Otolaryngology Head and Neck Surgery, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
⁴ Department of Otolaryngology-Head & Neck Surgery, Lucile Packard Children's Hospital, Stanford University, Palo Alto, CA, USA.
⁵ Department of Otorhinolaryngology, Head and Neck Surgery, Antwerp University Hospital, University of Antwerp, Belgium.
⁶ Department of Otolaryngology, Children's Hospital of Wisconsin, Medical College of Wisconsin, Milwaukee, WI, USA.
⁷ Department of Pediatric Otolaryngology-Head and Neck Surgery, University Hospital of Lille, Lille, France.
⁸ Department of Otolaryngology-Head and Neck Surgery, Emory University, Atlanta, GA, USA.
⁹ Department of Otology and Laryngology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, MA, USA.
¹⁰ Division of Pediatric Otolaryngology, National Taiwan University College of Medicine and Children's Hospital, Taipei, Taiwan.
¹¹ Children's Health Airway Management Program, UT Southwestern Medical Center, Dallas, TX, USA.
¹² Otolaryngology, Birmingham Children's Hospital, UK.
¹³ Division of Otolaryngology, University of Cape Town & Red Cross War Memorial Children's Hospital, Cape Town, South Africa.
¹⁴ Pediatric Otolaryngology Head and Neck Surgery, Pediatric Specialty Partners, San Diego, CA, USA.
¹⁵ Division of Pediatric Otolaryngology, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
¹⁶ Division of Pediatric Otolaryngology, Hassenfeld Children's Hospital, New York University Langone Health, New York, NY, USA.
¹⁷ Department of Otorhinolaryngology-Head and Neck Surgery, Children's Memorial Hermann Hospital, University of Texas Medical School, Houston, TX, USA.
¹⁸ Department of Paediatric Otolaryngology, Children's Health Ireland, Crumlin, Dublin, Ireland.
¹⁹ Airway Unit, Department of Otolaryngology, Lausanne University Hospital, CHUV, Switzerland.
²⁰ Department of Otolaryngology-Head & Neck Surgery, University of Iowa Hospitals and Clinics, Iowa City, IA, USA.
²¹ Paediatric Otolaryngology, Sydney Children's Hospital, Randwick, NSW, Australia.
²² Pediatric Otorhinolaryngology, University of Porto Medical School, S. Joao Hospital Center, Porto, Portugal.
²³ Department of Pediatric Otolaryngology, Head and Neck Surgery, Necker Children's Hospital, Paris, France.
²⁴ Division of Pediatric Otolaryngology, Ann & Robert H. Lurie Children's Hospital, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
²⁵ Pediatric Surgery Department, Bambino Gesu Children's Hospital, Rome, Italy.
²⁶ Division of Pediatric Otolaryngology, MUSC Shawn Jenkins Children's Hospital, Charleston, SC, USA.
²⁷ Paediatric Otolaryngology, Great Ormond Street Hospital, London, England, UK.
²⁸ Division of Otolaryngology, Children's National Medical Center, George Washington University, Washington DC, USA.
²⁹ Department of Otolaryngology/Head and Neck Surgery and Pediatrics, University of North Carolina, Chapel Hill, NC, USA.
³⁰ Department of Otolaryngology: Head & Neck Surgery, Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadephia, PA, USA.

PMID: 33341719
DOI: 10.1016/j.ijporl.2020.110565

Abstract

Objectives: To provide recommendations to otolaryngologists, pulmonologists, and allied clinicians for tracheostomy decannulation in pediatric patients.

Methods: An iterative questionnaire was used to establish expert recommendations by the members of the International Pediatric Otolaryngology Group.

Results: Twenty-six members completed the survey. Recommendations address patient criteria for decannulation readiness, airway evaluation prior to decannulation, decannulation protocol, and follow-up after both successful and failed decannulation.

Conclusion: Tracheostomy decannulation recommendations are aimed at improving patient-centered care, quality and safety in children with tracheostomies.

Keywords: Decannulation; Tracheostomy.

MeSH terms

Child
Device Removal
Humans
Infant
Otolaryngology*
Patient-Centered Care
Retrospective Studies
Tracheostomy*