Association of Disposable Device Manufacturers

Babng SC, VanHaIa S, Nelson VS, Hurvia 7% Rplotf DW, Grady EA, Leuris CC. Parent+ rtpolt OF g6~~gacheostomy oare. Aroh whys Mcd Rehati 1998;79: . ObJective: There are little darn am the actual care given pcdiauictrachcas~omypaticntsinrheir home.s.Informationon the we of su@ies and on techniques and f?equency ofcare is vshlahk for a better unfkrstandkg of the needs of this tim. @it2 'g: QlJ6Sionnd~ Were dist6bUCcd by mail 01 at cljnk visita from May 1995 ro June 19% CCI a convenience sample of Irsch6oromid patients at the University of Michigan Pe&ic Physid Mediciw and Rehabilitation dinio. !Mingt~6Iycar6clinic. IttsatsJckauI6chniquef~sucrionin~w88r6pun6dby 96.7% of subjects and tbt IM repasted st&~ technique. piny pcr&Refsuhj6crstqJcn6dMlsillgrracrisnc8therus.ckaniag .sAurions used to clean suction t&etas for muse v&d.. Trsdreostonay mbe se~sc was sepo~ed by 55% d subje&. Sixty ptrcmt of those who mused azchcoscomy t&es had had pocumoaiawithinQcprevkusyoar, whemasonly2596ofthose who aeverrcuscd the tr8ch6ostomy tube had pnawxmia in the saJn6timep6riod. Cahclwio~~~: Suctioning froqnertl?y, suction &er, and trachcostomy tube reuse and cIeaniag me&ods are variables thetw8rr8nrfllKhuiuv6srigarionofssf6ryandef6alcy. o I998 by rim Amdam Co~grcss of Rebabilimdon hcdichc and the American Ace&my qf Physkuf Medicine and R8hUbfkCXiCM M ANYPEDIATRIcPATiENTsrequicesIong-tcrmaacheosrorny for ainvay a-, mechanioal venfik~+3~ or both.' Home care is a msOnab~6 god for mat children with a tmehcctstomy. Stndies have ehcwn that home haehoaJtomy earr, in aonjuncrion with propv parent.4 train& quipmeat, ’ foUow4p vi&, and home nursing cclre, can be as safe as hospital care and, in most ca8cS, more bencfici~ to d16 child’s growth and developxnen~‘~ Home care for rupirauny te&nology-assiSted patient8 has alsO bwn ShOWn to be mom cost effective chlvr institutional czue.’ Although home weheostomy care has been evaluated far safet$ aad cost tttkctivam, and ’ the literature drmii and evskates die proper u&&g and prqdrion of parcnls? an extensive scar& of rhe riteranat found no emdies desaibing the acti methods and m+plies used in the home. Such kfonnacion would conmite KO abeuer uudasmnding of dl6 m6ds of this pupuklion, protidiJ@ mccmmend8tiops in the rtahhg of him6 cartgivers and helping to ipnepse cost effeaiv~ We asked m of pcdiauk ptkna with rrahosmmks tomportuseofmpp~ tecimiqm,andGcqmcyofaacheastomy~inrbehomc. and the incidcnoc of pneumonia witi rhe past y6az