Pediatric Tracheostomy

Paediatric Tracheostomy-
1. Position the child with chin extension appropriately
2. Drape the child as shown in the video
3. Mark the incision line
4. Use 15 number blade for skin incision
5. Remove the excessive subcutaneous fat tissue
6. Find the median raphe and strap muscles
7. Retract the strap muscles laterally
8. Identify the tracheal ring
9. Create the impression of tube for appropriate size incision
10. Place the stay sutures as shown in the video
11. Incise the trachea with 11 number blade
12. Secure the maturation sutures
13. Insert the tracheostomy tube
14. Confirm the position and then inflate the cuff
15. Secure the ties and dressing at the end.

1. Prolonged intubation
2. securing the airway
3. Refractory aspiration
4. Prolonged pressure support
5. Upper airway obstruction
^. Craniofacial fascial defect causing airway obstruction

None

Paediatric Tracheostomy set

Appropriate neck extension with chin fixing for stabilisation of trachea in midline

Bleeding & Coagulation parameter

Identification of the cartilaginous and bony neck landmark as shown in the video

intraoperative bleeding
False passage insertion
tube dislodgement
tube blocks

None

None