First Clinical Consensus and National Recommendations on Tracheostomized Children of the Brazilian Academy of Pediatric Otorhinolaryngology (ABOPe) and Brazilian Society of Pediatrics (SBP)

Publication date: Available online 27 June 2017
Source:Brazilian Journal of Otorhinolaryngology
Author(s): Melissa A.G. Avelino, Rebecca Maunsell, Fabiana Cardoso Pereira Valera, José Faibes Lubianca Neto, Cláudia Schweiger, Carolina Sponchiado Miura, Vitor Guo Chein, Dayse Manrique, Raquel Oliveira, Fabiano Gavazzoni, Isabela Furtado de Mendonça Picinin, Paulo Bittencourt, Paulo Camargos, Fernanda Peixoto, Marcelo Luiz Brandão, Tania Maria Sih, Wilma Terezinha Anselmo-Lima
IntroductionTracheostomy is a procedure that can be performed in any age group, including children under 1-year of age. Unfortunately, in Brazil huge difficulty exists for health professionals to deal with this condition, as well as lack of care standardization.ObjectiveThis clinical consensus carried out by ABOPe and SBP aims to generate national recommendations on the care and conducts concerning tracheostomized children.MethodsA group of experts experienced in childhood tracheostomy (otorhinolaryngologists, intensive care pediatricians, endoscopists, and pneumopediatricians) and proven practical practice in the subject were selected, also considering the different regions of Brazil, according to the inclusion and exclusion criteria.ResultsThe results generated from this document were based on the agreement of most participants regarding the indications, type of cannula, surgical techniques, care, and general guidelines and decannulation.ConclusionThese guidelines can be used as directives for a wide range of health professionals across the country who deal with the difficulties of tracheostomized children.



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