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Efficiency and usability of an elementary hand-held suction assembly in paediatric tracheostomised patients

Published online by Cambridge University Press:  13 July 2022

P Sagar Open the ORCID record for P Sagar [Opens in a new window] ,
R Kumar  and
A Chandran
P Sagar*
Affiliation:
Department of Otolaryngology and Head–Neck Surgery, All India Institute of Medical Sciences, New Delhi, India
R Kumar
Affiliation:
Department of Otolaryngology and Head–Neck Surgery, All India Institute of Medical Sciences, New Delhi, India
A Chandran
Affiliation:
Department of Otolaryngology and Head–Neck Surgery, All India Institute of Medical Sciences, New Delhi, India
*
Author for correspondence: Dr Prem Sagar, Department of Otolaryngology and Head–Neck Surgery, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, Delhi110029, India E-mail: sagardrprem@gmail.com
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Abstract

Objective

Commercially available suction devices are expensive, large and heavy, and need electricity, and thus restrict the outdoor activity of tracheostomised children and their carers. This study evaluated the efficacy and usability of a simple suction assembly using a syringe and feeding tube in paediatric tracheostomised patients.

Methods

Following the domiciliary usage of this suction assembly instead of their existing suction device for a minimum of 15 days, carers responded to a set of questionnaires containing a subjective scoring system.

Results

Ninety-three per cent of the carers considered this assembly as average, good or very good in cleaning the tracheostomy tube. Eighty per cent of the carers considered that this assembly would be suitable when their existing suction machines are unavailable, indicating high usability, and 66.67 per cent of the carers would be confident using this assembly in outdoor settings.

Conclusion

Larger studies with objective evaluation methods can validate the high efficacy of this simple, inexpensive and easy-to-use, hand-held suction apparatus as reported by the carers of 15 paediatric tracheostomised patients in this study.

Keywords

TracheostomySuctionCaregiversSyringesTrachea
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 136 , Issue 11 , November 2022 , pp. 1077 - 1080
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Dr P Sagar takes responsibility for the integrity of the content of the paper

References

Berry, JG, Graham, DA, Graham, RJ, Zhou, J, Putney, HL, O'Brien, JE et al. Predictors of clinical outcomes and hospital resource use of children after tracheotomy. Pediatrics 2009;124:563–72CrossRefGoogle ScholarPubMed
Deutsch, ES. Tracheostomy: pediatric considerations. Respir Care 2010;55:1082–90Google ScholarPubMed
Mahadevan, M, Barber, C, Salkeld, L, Douglas, G, Mills, N. Pediatric tracheotomy: 17 year review. Int J Pediatr Otorhinolaryngol 2007;71:1829–35CrossRefGoogle ScholarPubMed
French, LC, Wootten, CT, Thomas, RG, Neblett, WW, Werkhaven, JA, Cofer, SA. Tracheotomy in the preschool population: indication and outcomes. Otolaryngol Head Neck Surg 2007;137:280–3CrossRefGoogle ScholarPubMed
Ozmen, S, Ozmen, OA, Unal, OF. Pediatric tracheotomies: a 37-year experience in 282 children. Int J Pediatr Otorhinolaryngol 2009;73:959–61CrossRefGoogle ScholarPubMed
de Trey, L, Niedermann, E, Ghelfi, D, Gerber, A, Gysin, C. Pediatric tracheotomy: a 30-year experience. J Pediatr Surg 2013;48:1470–5CrossRefGoogle ScholarPubMed
Tantinikorn, W, Alper, CM, Bluestone, CD, Casselbrant, ML. Outcome in pediatric tracheotomy. Am J Otolaryngol 2003;24:131–7CrossRefGoogle ScholarPubMed
Leung, R, Berkowitz, RG. Decannulation and outcome following pediatric tracheostomy. Ann Otol Rhinol Laryngol 2005;114:743–8CrossRefGoogle ScholarPubMed
Carron, JD, Derkay, CS, Strope, GL, Nosonchuk, JE, Darrow, DH. Pediatric tracheotomies: changing indications and outcomes. Laryngoscope 2000;110:1099–104CrossRefGoogle ScholarPubMed
Chandran, A, Sikka, K, Thakar, A, Lodha, R, Irugu, DVK, Kumar, R et al. The impact of pediatric tracheostomy on the quality of life of caregivers. Int J Pediatr Otorhinolaryngol 2021;149:110854CrossRefGoogle ScholarPubMed
Watters, K, O'Neill, M, Zhu, H, Graham, RJ, Hall, M, Berry, J. Two-year mortality, complications, and healthcare use in children with Medicaid following tracheostomy. Laryngoscope 2016;126:2611–17CrossRefGoogle ScholarPubMed