Important Overview Points
- Recommendations for children with chronic tracheostomies
- Most recommendations by consensus
- Guidelines for Care
- Interdisciplinary approach to care
The recommendations that follow are meant to be used for children
with a chronic tracheostomy. They are not specifically designed for
use in children with a new tracheostomy although some of these
recommendations may apply equally well to this group of children
with new tracheostomies. They are not intended to be used for
children whose trachea is intubated with an orotracheal or
Because of the general lack of scientific data in this area, most
of the recommendations that follow were made by consensus.
Therefore, as new data become available, modifications to these
recommendations will inevitably occur.
These recommendations should be looked upon as guidelines for care
and not standards of care. They should be adapted to the needs of
your patients and the environment in which you practice.
The recommendations reflect the interdisciplinary composition of
the authors. Implicit in these recommendations is the expectation
that they will be best delivered and your patients best served by a
similar interdisciplinary team approach to patient care.