Keywords
Decannulation
Child
Educational technology
Patient care team
How to Cite
Copyright © | All rights reserved.
The journal holds the exclusive copyright for the publication of this article under the terms of Brazilian law 9610/98.
Partial reproduction
The use of parts of the texts, figures and questionnaire of the article is free, being mandatory the citation of the authors and journal.
Total reproduction
It is expressly prohibited and must be authorized by the journal.
Abstract
Objective: To develop an educational technology to guide health professionals on the decannulation of tracheostomized children. Methods: Methodological technological development study conducted in a pediatric surgical ward of a public reference hospital in the Northern Region of Brazil. The study was developed in three stages: integrative review, field research, and technology development. Twenty physiotherapy, speech-language pathology, and medical professionals participated, selected by convenience sampling. Data were collected through a semi-structured questionnaire and analyzed using descriptive statistics. Results: Most participants were female (90%), physiotherapists (65%), had a specialization degree (60%), and temporary employment contracts (80%). All recognized the importance of endoscopic airway assessment and clinical warning signs during occlusion, while 85% recognized the need for progressive occlusion testing. There was disagreement regarding the observation period after decannulation: 50% indicated 24 hours and 50%, 48 hours. An educational technology consisting of an instructional video, cartoon, infographic, and podcast was developed. Conclusion: Adequate knowledge and divergences were identified, reinforcing the need for continuing education and standardized practices. The technology developed may support professional training.
References
AMIN R, et al. Care of infants and children with tracheostomies: an official American Thoracic Society clinical practice guideline. Am J Respir Crit Care Med. 2025;211(11):2001-2020.
BÖSCHEN E, et al. Tracheostomy decannulation in children: a proposal for a structured approach on behalf of the working group chronic respiratory insufficiency within the German-speaking Society of Pediatric Pulmonology. Eur J Pediatr. 2023;182(7):2999-3006.
CANNING J, et al. Pediatric tracheostomy decannulation: when can decannulation be performed safely outside of the intensive care setting? A 10 year review from a single tertiary otolaryngology service. Int J Pediatr Otorhinolaryngol. 2020;133:109986.
CHANTRE T, et al. Protocolo de descanulação de traqueostomia num hospital pediátrico terciário. Rev Port Otorrinolaringol Cir Cabeça Pescoço. 2023;61(4):401-411.
CHIA AZH, et al. Epidemiology of pediatric tracheostomy and risk factors for poor outcomes: an 11-year single-center experience. Otolaryngol Head Neck Surg. 2020;162(1):121-128.
CHORNEY SR, et al. Pediatric tracheostomy outcomes after development of a multidisciplinary airway team: a quality improvement initiative. OTO Open. 2021;5(3):2473974X211045615.
EICHAR BW, et al. Effect of speaking valves on tracheostomy decannulation. Int Arch Otorhinolaryngol. 2024;28(1):e157-e164.
FALLA PI, et al. Factors influencing time-dependent decannulation after pediatric tracheostomy according to the Kaplan-Meier method. Eur Arch Otorhinolaryngol. 2020;277(4):1139-1147.
FULLER C, et al. Update on pediatric tracheostomy: indications, technique, education, and decannulation. Curr Otorhinolaryngol Rep. 2021;9(2):188-199. doi:10.1007/s40136-021-00340-y.
KENNEDY A, et al. International Pediatric Otolaryngology Group management recommendations: pediatric tracheostomy decannulation. Int J Pediatr Otorhinolaryngol. 2021;141:110565.
KOMORI M. Update on pediatric tracheostomy. Auris Nasus Larynx. 2024;51(3):429-432.
KOU YF, et al. Multidisciplinary pediatric tracheostomy teams. Otolaryngol Clin North Am. 2022;55(6):1195-1203.
LLOYD AM, et al. Time considerations and outcomes in pediatric tracheostomy decannulation. Int J Pediatr Otorhinolaryngol. 2024;179:111934.
MIRANDA LDG, et al. Decannulation protocol in pediatric patients: case series study. Rev Paul Pediatr. 2024;43:e2023187.
OBAYASHI J, et al. Safety evaluation of a stepwise tracheostomy decannulation program in pediatric patients. Pediatr Surg Int. 2023;39(1):260.
PONTES AKOR, et al. O impacto das tecnologias educacionais no ensino em saúde: desafios e oportunidades. Rev Interagir. 2024;19(126):97-102.
RAYNOR T, BEDWELL J. Pediatric tracheostomy decannulation: what's the evidence? Curr Opin Otolaryngol Head Neck Surg. 2023;31(6):3973-402.
SANTOS AMD, et al. Análise do conceito "tecnologia educacional" na área da saúde. EaD em Foco. 2022;12(2):e1675.
SCHWEIGER C, et al. Determinants of successful tracheostomy decannulation in children: a multicentric cohort study. J Laryngol Otol. 2020;134(1):63-67.
VERMA R, et al. Decannulation following tracheostomy in children: a systematic review of decannulation protocols. Pediatr Pulmonol. 2021;56(8):2426-2443.
WILLIS LD. Pediatric tracheostomy year in review. Respir Care. 2024;69(8):1025-1032.