INTRODUCTION: There has been a significant change in the role of pediatric tracheostomy over the last twenty years. Obstruction of the upper airway caused by @entity166 agents is no longer the leading cause of tracheostomy in @entity1 . @entity11578 of the upper airway as well as the need for prolonged ventilator assistance have become the most frequent indication for pediatric tracheostomy. OBJECTIVE: The purpose of this paper is to assess the incidence, indications, complications, and role in mortality of tracheostomy in our pediatric population. METHODS: A retrospective descriptive study of pediatric @entity1 who underwent tracheostomy was conducted between 1999 and 2008 in the Pediatric Intensive Care Unit of the Jos   @entity6302   de Sancti Spiritus Pediatric Teaching Hospital in Cuba. RESULTS: Tracheostomy was performed in 14 @entity1 during the period of the study (0.5% of admitted @entity1 ). Nine of them (64.2%) were younger than one year. The most frequent indication for the procedure was the need for prolonged mechanical ventilation in @entity1 with @entity16 in 10 @entity1 (71.42%). @entity10926 were infrequent indications for tracheostomy. The most frequent complications were @entity166 in 10 @entity1 (71.4%) and obstruction in four @entity1 (28.5%). The following germs were found: Pseudomona aeruginosa in six @entity1 (60%), @entity794 in three @entity1 (30%), and @entity7100 in three @entity1 (30%). Furthermore, four @entity1 were successfully decannulated (28.5%), five @entity1 died (35.7%) but only in one (7.14%), @entity204 could be attributed to tracheostomy. CONCLUSION: The need for prolonged mechanical ventilation in @entity1 with @entity16 was the main indication for tracheostomy in our pediatric population; most of these @entity1 were younger than one year. The procedure had little impact in overall mortality in this group of @entity1 .

[Pediatric tracheostomy: a ten-year analysis in the Intensive Care Unit of Sancti Spiritus   Jos   XXXX     Pediatric Teaching Hospital].

@entity1 :: ('9606', 'Species') :: ['children', 'patients'] @entity11578 :: ('MESH:D020914', 'Disease') :: ['Structural anomalies'] @entity16 :: ('MESH:D009422', 'Disease') :: ['neurologic disorders'] @entity794 :: ('1280', 'Species') :: ['Staphylococcus aureus'] @entity6302 :: ('5414', 'Gene') :: ['Mart'] @entity10926 :: ('MESH:D020803', 'Disease') :: ['Upper airway malformations and acute infections'] @entity204 :: ('MESH:D003643', 'Disease') :: ['death'] @entity166 :: ('MESH:D003141', 'Disease') :: ['infectious'] @entity7100 :: ('550', 'Species') :: ['Enterobacter cloacae']
@entity6302 :: (5414,Gene) :: ['Mart']
