Liberation of mechanical ventilation in tracheostomized pediatric patients during their stay in the intensive care unit

Introduction: Tracheostomy in pediatric intensive care has a prevalence between 5% and 10% of patients on mechanical ventilation. The objective of this study was to determine the duration and outcome of the weaning process from mechanical ventilation (MV) and the behavior according to the reason for...

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Autores principales: Simonassi, Julia Inés, Canzobre, María Tatiana, Lopez Fiorito, Victoria Eleonora, Perez, Cinthia Giselle, Pellegrini, Solana
Formato: Artículo revista
Lenguaje:Español
Publicado: Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2025
Materias:
tracheostomy
pediatric
mechanical ventilation
intensive care
Weaning
traqueostomia
pediatría
ventilación mecánica
cuidados intensivos
destete
ventilação mecânica
desmame
pediatria
Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/45243
Aporte de:
Revista de la Facultad de Ciencias Médicas de Córdoba de Universidad Nacional de Córdoba
id I10-R327-article-45243
record_format ojs
institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-327
container_title_str Revista de la Facultad de Ciencias Médicas de Córdoba
language Español
format Artículo revista
topic tracheostomy
pediatric
mechanical ventilation
intensive care
Weaning
traqueostomia
pediatría
ventilación mecánica
cuidados intensivos
destete
traqueostomia
cuidados intensivos
ventilação mecânica
desmame
pediatria
spellingShingle tracheostomy
pediatric
mechanical ventilation
intensive care
Weaning
traqueostomia
pediatría
ventilación mecánica
cuidados intensivos
destete
traqueostomia
cuidados intensivos
ventilação mecânica
desmame
pediatria
Simonassi, Julia Inés
Canzobre, María Tatiana
Lopez Fiorito, Victoria Eleonora
Perez, Cinthia Giselle
Pellegrini, Solana
Liberation of mechanical ventilation in tracheostomized pediatric patients during their stay in the intensive care unit
topic_facet tracheostomy
pediatric
mechanical ventilation
intensive care
Weaning
traqueostomia
pediatría
ventilación mecánica
cuidados intensivos
destete
traqueostomia
cuidados intensivos
ventilação mecânica
desmame
pediatria
author Simonassi, Julia Inés
Canzobre, María Tatiana
Lopez Fiorito, Victoria Eleonora
Perez, Cinthia Giselle
Pellegrini, Solana
author_facet Simonassi, Julia Inés
Canzobre, María Tatiana
Lopez Fiorito, Victoria Eleonora
Perez, Cinthia Giselle
Pellegrini, Solana
author_sort Simonassi, Julia Inés
title Liberation of mechanical ventilation in tracheostomized pediatric patients during their stay in the intensive care unit
title_short Liberation of mechanical ventilation in tracheostomized pediatric patients during their stay in the intensive care unit
title_full Liberation of mechanical ventilation in tracheostomized pediatric patients during their stay in the intensive care unit
title_fullStr Liberation of mechanical ventilation in tracheostomized pediatric patients during their stay in the intensive care unit
title_full_unstemmed Liberation of mechanical ventilation in tracheostomized pediatric patients during their stay in the intensive care unit
title_sort liberation of mechanical ventilation in tracheostomized pediatric patients during their stay in the intensive care unit
description Introduction: Tracheostomy in pediatric intensive care has a prevalence between 5% and 10% of patients on mechanical ventilation. The objective of this study was to determine the duration and outcome of the weaning process from mechanical ventilation (MV) and the behavior according to the reason for the tracheostomy. Methodology: Data from 59 patients under 18 years of age who received MV and underwent tracheostomy between January 2018 and March 2023 at the Juan P. Garrahan National Pediatric Hospital, Argentina, were retrospectively examined. Demographic variables, reasons for admission to the unit, days on MV, tracheostomy characteristics, and the weaning process from MV were recorded. Results: The main reasons for tracheostomy were airway disorders (50.8%) and prolonged MV (30.5%). Notable variability was observed in the duration and success of the weaning process among different groups of patients. Patients with airway disorders showed a faster weaning (median: 1.5 days) and higher success in this process, while those with prolonged MV and neurological disorders experienced longer processes (medians: 25.5 and 28 days, respectively) and more patients required partial or total mechanical ventilation at the end of this process. The presence of diaphragmatic dysfunction was more common in those who took longer to wean. Conclusion: The weaning from MV is a complex process, and the reason for the tracheostomy influences its progression.
publisher Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
publishDate 2025
url https://revistas.unc.edu.ar/index.php/med/article/view/45243
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spelling I10-R327-article-452432025-04-15T16:31:39Z Liberation of mechanical ventilation in tracheostomized pediatric patients during their stay in the intensive care unit Liberación de la ventilación mecánica en pacientes pediátricos traqueostomizados durante su estadía su estadía en terapia intensiva Liberação da ventilação mecânica em pacientes pediátricos traqueostomizados durante sua permanência na terapia intensiva Simonassi, Julia Inés Canzobre, María Tatiana Lopez Fiorito, Victoria Eleonora Perez, Cinthia Giselle Pellegrini, Solana tracheostomy pediatric mechanical ventilation intensive care Weaning traqueostomia pediatría ventilación mecánica cuidados intensivos destete traqueostomia cuidados intensivos ventilação mecânica desmame pediatria Introduction: Tracheostomy in pediatric intensive care has a prevalence between 5% and 10% of patients on mechanical ventilation. The objective of this study was to determine the duration and outcome of the weaning process from mechanical ventilation (MV) and the behavior according to the reason for the tracheostomy. Methodology: Data from 59 patients under 18 years of age who received MV and underwent tracheostomy between January 2018 and March 2023 at the Juan P. Garrahan National Pediatric Hospital, Argentina, were retrospectively examined. Demographic variables, reasons for admission to the unit, days on MV, tracheostomy characteristics, and the weaning process from MV were recorded. Results: The main reasons for tracheostomy were airway disorders (50.8%) and prolonged MV (30.5%). Notable variability was observed in the duration and success of the weaning process among different groups of patients. Patients with airway disorders showed a faster weaning (median: 1.5 days) and higher success in this process, while those with prolonged MV and neurological disorders experienced longer processes (medians: 25.5 and 28 days, respectively) and more patients required partial or total mechanical ventilation at the end of this process. The presence of diaphragmatic dysfunction was more common in those who took longer to wean. Conclusion: The weaning from MV is a complex process, and the reason for the tracheostomy influences its progression. Introducción: La traqueostomía en terapia intensiva pediátrica tiene una prevalencia entre el 5 y 10% de los pacientes en ventilación mecánica. El objetivo de este estudio fue hallar la duración y el resultado del proceso de liberación de la ventilación mecánica (VM) y el comportamiento según el motivo de la traqueostomía. Metodología: Se examinaron retrospectivamente los datos de 59 pacientes menores de 18 años que recibieron VM y se sometieron a traqueostomía entre enero de 2018 y marzo de 2023 en el Hospital Nacional de Pediatría Juan P. Garrahan, Argentina. Se registraron variables demográficas, motivos de ingreso a la unidad, días de VM, características de la traqueostomía y proceso de liberación de la VM. Resultados: Los principales motivos de traqueostomía fueron trastornos de la vía aérea (50.8%) y VM prolongada (30.5%). Se observó una notoria variabilidad en la duración y el éxito del proceso de liberación entre los diferentes grupos de pacientes. Los pacientes con trastornos de la vía aérea mostraron una liberación más rápida (mediana: 1.5 días), y un éxito mayor en este proceso,  mientras que aquellos con VM prolongada y trastornos neurológicos experimentaron procesos más prolongados (medianas: 25.5 y 28 días, respectivamente) y más pacientes con requerimiento parcial o total de la ventilación meánica al final de este proceso. La presencia de disfunción diafragmática estuvo más presente en quienes tardaron más en desvincularse. Conclusión: La liberación de la VM en un proceso complejo y el motivo de la traqueostomía influye en su evolución. Introdução: A traqueostomia em terapia intensiva pediátrica tem uma prevalência entre 5 e 10% dos pacientes em ventilação mecânica. O objetivo deste estudo foi encontrar a duração e o resultado do processo de liberação da ventilação mecânica (VM) e o comportamento de acordo com o motivo da traqueostomia. Metodologia: Foram examinados retrospectivamente os dados de 59 pacientes menores de 18 anos que receberam VM e foram submetidos a traqueostomia entre janeiro de 2018 e março de 2023 no Hospital Nacional de Pediatria Juan P. Garrahan, Argentina. Foram registradas variáveis demográficas, motivos de admissão na unidade, dias de VM, características da traqueostomia e processo de liberação da VM. Resultados: Os principais motivos de traqueostomia foram transtornos das vias aéreas (50,8%) e VM prolongada (30,5%). Observou-se uma notória variabilidade na duração e no sucesso do processo de liberação entre os diferentes grupos de pacientes. Os pacientes com transtornos das vias aéreas mostraram uma liberação mais rápida (mediana: 1,5 dias), e um maior sucesso nesse processo, enquanto aqueles com VM prolongada e transtornos neurológicos experimentaram processos mais prolongados (medianas: 25,5 e 28 dias, respectivamente) e mais pacientes com necessidade parcial ou total da ventilação mecânica ao final desse processo. A presença de disfunção diafragmática esteve mais presente naqueles que demoraram mais para se desvincular. Conclusão: A liberação da VM é um processo complexo e o motivo da traqueostomia influencia sua evolução. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2025-03-31 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf text/html https://revistas.unc.edu.ar/index.php/med/article/view/45243 10.31053/1853.0605.v82.n1.45243 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 82 No. 1 (2025); 78-94 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 82 Núm. 1 (2025); 78-94 Revista da Faculdade de Ciências Médicas de Córdoba; v. 82 n. 1 (2025); 78-94 1853-0605 0014-6722 10.31053/1853.0605.v82.n1 spa https://revistas.unc.edu.ar/index.php/med/article/view/45243/48668 https://revistas.unc.edu.ar/index.php/med/article/view/45243/48783 Derechos de autor 2025 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0

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