Hostname: page-component-8448b6f56d-wq2xx Total loading time: 0 Render date: 2024-04-15T13:41:39.316Z Has data issue: false hasContentIssue false
  • English
  • Français

Paediatric tracheostomy tubes: recent developments and our current practice

Published online by Cambridge University Press:  05 November 2018

D J Tweedie ,
J Cooke ,
K A Stephenson ,
S L Gupta ,
C M Pepper ,
M D Elloy ,
L A Cochrane  and
M E Wyatt
D J Tweedie*
Affiliation:
Department of Paediatric Otolaryngology, Evelina London Children's Hospital, Guy's and St Thomas’ NHS Foundation Trust, London, UK
J Cooke
Affiliation:
Department of Paediatric Otolaryngology, Great Ormond Street Hospital for Children, London, UK
K A Stephenson
Affiliation:
Department of Paediatric Otolaryngology, Great Ormond Street Hospital for Children, London, UK
S L Gupta
Affiliation:
Department of Paediatric Otolaryngology, Great Ormond Street Hospital for Children, London, UK
C M Pepper
Affiliation:
Department of Paediatric Otolaryngology, Evelina London Children's Hospital, Guy's and St Thomas’ NHS Foundation Trust, London, UK
M D Elloy
Affiliation:
Department of Paediatric Otolaryngology, Leicester Royal Infirmary, UK
L A Cochrane
Affiliation:
Department of Paediatric Otolaryngology, Great Ormond Street Hospital for Children, London, UK
M E Wyatt
Affiliation:
Department of Paediatric Otolaryngology, Great Ormond Street Hospital for Children, London, UK
*
Author for correspondence: Mr D J Tweedie, Department of Paediatric Otolaryngology, Evelina London Children's Hospital, Guy's and St Thomas’ NHS Foundation Trust, London SE1 7EH, UK E-mail: daniel.tweedie@gstt.nhs.uk
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective

A variety of paediatric tracheostomy tubes are available. This article reviews the tubes in current use at Great Ormond Street Hospital for Children and Evelina London Children's Hospital.

Methods

This paper outlines our current preferences, and the particular indications for different tracheostomy tubes, speaking valves and other attachments.

Results

Our preferred types of tubes have undergone significant design changes. This paper also reports further experience with certain tubes that may be useful in particular circumstances. An updated sizing chart is included for reference purposes.

Conclusion

The choice of a paediatric tracheostomy tube remains largely determined by individual clinical requirements. Although we still favour a small range of tubes for use in the majority of our patients, there are circumstances in which other varieties are indicated.

Keywords

TracheostomyInfant, NewbornChild
Type
Review Articles
Information
The Journal of Laryngology & Otology , Volume 132 , Issue 11 , November 2018 , pp. 961 - 968
Copyright
Copyright © JLO (1984) Limited, 2018 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Mr DJ Tweedie takes responsibility for the integrity of the content of the paper

References

1Irving, RM, Jones, NS, Bailey, CM, Melville, J. A guide to the selection of paediatric tracheostomy tubes. J Laryngol Otol 1991;105:1046–51Google Scholar
2Wyatt, ME, Bailey, CM, Whiteside, JC. Update on paediatric tracheostomy tubes. J Laryngol Otol 1999;113:35–40Google Scholar
3Tweedie, DJ, Skilbeck, CJ, Cooke, J, Wyatt, ME. Choosing a paediatric tracheostomy tube: an update of current practice. J Laryngol Otol 2007;10:1–9Google Scholar
4Phillips, PS, Kubba, H, Hartley, BE, Albert, DM. The use of the Montgomery T-tube in difficult paediatric airways. Int J Pediatr Otorhinolaryngol 2006;70:39–44Google Scholar
5Stern, Y, Willging, JP, Cotton, RT. Use of Montgomery T-tube in laryngotracheal reconstruction in children: is it safe? Ann Otol Rhinol Laryngol 1998;107:1006–9Google Scholar