Discussion of identified nutritional and feeding skill deficits of children with tracheostomy dependence.

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Tracheostomy care in leading pediatric hospitals is both multi-disciplinary and comprehensive, including generalized care protocols and thorough family training programs. This level of care is more difficult in resource-limited  settings lacking developed healthcare infrastructure.

 Medical advances have led to an everincreasing use of tracheostomy in children requiring long-term ventilation. Children with a tracheostomy often have multiple comorbidities and require high-level integrated care to minimise complications. Healthcare professionals responsible for managing this vulnerable cohort must have sufficient expertise to do so effectively. This study aimed to evaluate the educational effectiveness of an interactive webinar lecture series designed for paediatric healthcare professionals.

Presentation of data before and after interventions to reduce tracheostomy pressure wounds following tracheotomy. Our institution was able to significantly reduce overall wounds and eliminate advanced stage wounds using a wound care protocol implemented by a multidisciplinary team.

Little data exists regarding use of tracheostomy ventilation (TV) in patients with motor neurone disease (PwMND). Some UK centres offer TV as a treatment option. It is hypothesised that starting TV in PwMND is intrusive to quality of life and leads to unacceptably, long hospital stays.

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