A retrospective cohort study evaluated the impact of body weight on acute complications and the clinical course following pediatric tracheostomy in 39 children admitted to a tertiary pediatric intensive care unit. Patients were stratified into three body weight groups, and researchers analyzed demographic characteristics, tracheostomy indications, procedural details, acute complications, and clinical outcomes. Acute complications occurred in seven patients, with cannula-related events representing the most frequently reported complications.

Children weighing less than 5 kg experienced higher rates of acute complications and had a longer mean hospital stay than children in the higher weight groups, indicating a clinically relevant trend toward increased technical risk and prolonged recovery. However, these differences did not reach statistical significance in this cohort. The findings…