Pediatric tracheostomy: timing of the first tube change

Ann Otol Rhinol Laryngol. 2015 May;124(5):374-7. doi: 10.1177/0003489414560430. Epub 2014 Nov 27.


Objectives: No consensus exists on appropriate timing for the first tracheostomy tube change. The purpose of this study is to evaluate the safety of early tracheostomy change in the pediatric population.

Methods: A case series of all children undergoing tracheostomy at a tertiary children's hospital between 2008-2013 was retrospectively reviewed.

Results: A total of 151 children undergoing tracheostomy were identified. The average age was 48.1±66 months and median age was 10 months. The initial tracheostomy tube change occurred on postoperative day 3 (POD 3) in 65 children (43.0%) safely without any complications.

Conclusions: Early tracheostomy tube change was safely performed in a significant portion of this population. Routine tube change on POD 3 in many children could save resources by reducing the length of ICU and hospital stays.

Keywords: bronchoscopy; granuloma; pediatric; tracheostomy.

MeSH terms

  • Child, Preschool
  • Device Removal*
  • Equipment Design
  • Female
  • Follow-Up Studies
  • Humans
  • Infant
  • Male
  • Postoperative Care / methods*
  • Postoperative Complications / prevention & control*
  • Retrospective Studies
  • Time Factors
  • Tracheostomy / instrumentation*