Preventing accidental decannulations following tracheostomy

J Pediatr Surg. 1988 Feb;23(2):143. doi: 10.1016/s0022-3468(88)80144-1.


Tracheostomy in infants and children is associated with a high rate of accidental decannulation in the early postoperative period. Eighty-eight patients underwent tracheostomy from 1980 to 1985, and 22 were sutured in place. Accidental decannulation occurred in 31.8% of the nonsutured and 4.5% of the sutured tracheostomies. We advocate suturing tracheostomy tubes in place in infants and children and describe a simple suture technique for this purpose.

MeSH terms

  • Adolescent
  • Adult
  • Child
  • Child, Preschool
  • Humans
  • Infant
  • Infant, Newborn
  • Suture Techniques*
  • Tracheostomy / adverse effects
  • Tracheostomy / instrumentation
  • Tracheostomy / methods*