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Tracheostomy Care: Hospital Management and Transition to Home

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Disorders of the Neonatal Airway

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Abstract

The process for a family to bring an infant with a tracheostomy home can be a long journey. A successful transition is helped by having a comprehensive program to train a primary and secondary caregiver, a multidisciplinary team to help the family with obtaining supports in the home such as private duty nursing and a durable medical equipment supplier, and a general and specialist medical team who can help the child achieve medical stability and streamline their care so it is practical in the home.

The Journey Home with a Tracheostomy: A Roadmap to Success.

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Abbreviations

AARC:

American Association of Respiratory Care

ATS:

American Thoracic Society

CPR:

Cardiopulmonary resuscitation

DME:

Durable medical equipment supplier

ENT:

Ear, nose, and throat

EtCO2 :

End-tidal CO2

HME:

Heat-moisture exchanger

ICU:

Intensive care unit

IPV:

Intrapulmonary percussive ventilation

LRTI:

Lower respiratory tract infection

RT:

Respiratory therapist

SSI:

Supplemental security income

TSV:

Tracheostomy speaking valve

VACHP:

Ventilator Assisted Children’s Home Program

VAP:

Ventilator associated pneumonia

WIC:

Women, Infants, and Children

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Authors and Affiliations

  1. Departments of Anesthesiology and Critical Care Medicine, The Children’s Hospital of Philadelphia, University of Pennsylvania, Perelman School of Medicine, 34th Street and Civic Center Blvd, Philadelphia, PA, 19104, USA

    Richard Lin M.D., F.A.A.P.

  2. Division of Otorhinolarygology, The Children’s Hospital of Philadelphia, 34th Street and Civic Center Blvd, Philadelphia, PA, 19104, USA

    Joanne Stow P.P.C.N.P-.B.C., C.O.R.L.N.

  3. Children’s Hospital Home Care, The Children’s Hospital of Philadelphia, Philadelphia, 950 Pulaski Drive, King of Prussia, PA, 19406, USA

    Lynn Shesser M.B.A., M.S.N., R.N. & John Tamasitis R.R.T-.N.P.S.

Authors
  1. Richard Lin M.D., F.A.A.P.
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  2. Joanne Stow P.P.C.N.P-.B.C., C.O.R.L.N.
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  3. Lynn Shesser M.B.A., M.S.N., R.N.
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  4. John Tamasitis R.R.T-.N.P.S.
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Corresponding author

Correspondence to Richard Lin M.D., F.A.A.P. .

Editor information

Editors and Affiliations

  1. Attending Neonatologist, Director Neonatal Outreach, Medical Director, Neonatal Airway Program, The Children’s Hospital of Philadelphia, Associate Professor of Clinical Pediatrics, Department of Neonatology, The University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA

    Janet Lioy

  2. Attending Surgeon, Fellowship Director, Pediatric Otolaryngology, The Center for Pediatric Airway Disorders, The Children’s Hospital of Philadelphia, Associate Professor, Department of Otorhinolaryngology-Head and Neck Surgery, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA

    Steven E. Sobol

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Lin, R., Stow, J., Shesser, L., Tamasitis, J. (2015). Tracheostomy Care: Hospital Management and Transition to Home. In: Lioy, J., Sobol, S. (eds) Disorders of the Neonatal Airway. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1610-8_31

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  • DOI: https://doi.org/10.1007/978-1-4939-1610-8_31

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  • Online ISBN: 978-1-4939-1610-8

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