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Paediatric tracheostomy: a unique situation in a tertiary children’s hospital in Sabah, Malaysia

Title: Paediatric tracheostomy: a unique situation in a tertiary children’s hospital in Sabah, Malaysia
Authors: Lim, Chee Chean; Liew, Yew Toong; Halimuddin, S.; N. A., Ahmad; Lu, Jia Lei; Narayanan, Prepageran
Source: International Journal of Otorhinolaryngology and Head and Neck Surgery; Vol. 7 No. 11 (2021): November 2021; 1715-1720 ; 2454-5937 ; 2454-5929
Publisher Information: Medip Academy
Publication Year: 2021
Subject Terms: Tracheostomy; Paediatric; Sabah; Immigrants
Description: Background: This paper presents our experience in paediatric tracheostomy in a tertiary children’s hospital and to describe the unique multi-racial and multi-ethnic social demographics involved. Moreover, we would like to highlight an unusual social concern in the state of Sabah, Malaysia and its challenges when treating illegal immigrant children.Methods: A retrospective case note review was conducted for all paediatric patients who underwent tracheostomy between January 2014 to December 2018.Results: Seventy-six patients were recruited. Among them thirteen (17.1%) were illegal immigrant children. The commonest indication for tracheostomy was for prolonged assisted ventilation (60.5%), followed by upper airway obstruction (38.2%) and bronchial toileting (1.3%).Conclusions: This study reflects the current trend in regards to the indication for paediatric tracheostomy. The challenges in treating illegal immigrant children need to be considered on a case by case basis encompassing the family’s economic situation, hospital policies and the child well-being.
Document Type: article in journal/newspaper
File Description: application/pdf
Language: English
Relation: https://www.ijorl.com/index.php/ijorl/article/view/3250/1863; https://www.ijorl.com/index.php/ijorl/article/view/3250
DOI: 10.18203/issn.2454-5929.ijohns20214219
Availability: https://www.ijorl.com/index.php/ijorl/article/view/3250; https://doi.org/10.18203/issn.2454-5929.ijohns20214219
Rights: Copyright (c) 2021 International Journal of Otorhinolaryngology and Head and Neck Surgery
Accession Number: edsbas.3EC4B113
Database: BASE