Neonatal Tracheostomy – Issues and Solutions


  • A Saadia Deccan College of Medical Sciences and Princess Esra Hospital , Hyderabad
  • GR Prasad Deccan College of Medical Sciences and Princess Esra Hospital , Hyderabad



Neonate, Tracheostomy


AIMS: To record and analyse the technical aspects of neonatal tracheostomy and to suggest some solutions.

Materials and Methods: This is a retrospective observational cohort of 37 cases of neonatal tracheostomies performed over 30 years (1985-2014).

Results: Thirty-three of the 37 tracheostomies were done as an elective procedure and four done emergently. Eighteen neonatal tracheostomies were done with a low transverse cervical incision and 19 were done with low vertical cervical incision. Three patients had bleeding while exposing the trachea. Trachea could not easily be identified in 2 cases. Commercial tracheostomy tubes were used in only 20 cases. In 17 patients, the conventional endotracheal tubes 2.5 or 3fr size were used. There were 3 instances of wound infection out of which one has peri-tracheostomy necrotizing cellulitis and the neonate succumbed to sepsis. Two cases had surgical emphysema. No case had pneumothorax.

Conclusion: We described tracheostomy in neonates in a resource constrained centre. Various makeshift arrangements can be used in absence of standard supplies.


Download data is not yet available.


Metrics Loading ...




How to Cite

Saadia A, Prasad G. Neonatal Tracheostomy – Issues and Solutions. J Neonatal Surg [Internet]. 2015Mar.25 [cited 2022May17];4(2):J Neonat Surg. 2015; 4(2):13. Available from: