Factors affecting the quality of life of caregivers of children with tracheostomy: an assessment tool Ahmed Alkhateeb, Danah Alrusayyis, Aishah AlGhuneem, Hussain Alsheef, Mohammed Halawani, Noura Alanazi, Lama Alshenaifi, Anas Altammas, Hussain Alsaleh, Meshael Alkusayer, Bader Alaslab, Talal A Al-Khatib Acta Otorhinolaryngologica Italica, 2026 Objectives: Develop and validate comprehensive questionnaire scales to investigate the quality of life (QoL) of parents caring for tracheostomised children and identify potential contributing factors. Methods: This is a cross-sectional questionnaire conducted in paediatric otolaryngology clinics in 5 tertiary hospitals. Caregivers caring for children with tracheostomies at home between April 2023 and March 2024 were included. The survey items were divided into 4 distinct domains: (1) frequency of healthcare utilisation; (2) awareness and knowledge; (3) skills in tracheostomy care; and (4) caregiver's QoL. Internal consistency, construct validity, and test-retest reliability were assessed. Results: Eighty-seven caregivers completed the survey. The combined Cronbach's α coefficient was 0.81. Exploratory factor analysis values exceeded 0.75 for most items. The awareness level, ease of obtaining tracheostomy tubes, and experience in tracheostomy care showed a significant positive association with the QoL. Conclusions: TrachQoL questionnaire is a reliable tool that may help guide clinical interventions and future research. Scales for caregivers' level of knowledge and skills and accessibility to healthcare services are useful for investigating QoL in families caring for children with a tracheostomy.
Postoperative management of pediatric tympanostomy tubes: a Yo-IFOS consensus Nicolien van der Poel, Alberto Maria Saibene, François Simon, Jerome R. Lechien, Randa Al-Barazi, Ahmed Alkhateeb, Joana Ximenes Araújo, Maria R. Barillari, Ricardo Bartel, Maryana B. Cherkes, Sharon Cushing, Stéphane Gargula, Giannicola Iannella, Carolyn M. Jenks, Tal Marom, Quentin Mat, Erika Mercier, Eric Moreddu, Federica Parisi, Shazia Peer, Jeyasakthy Saniasiaya, Natacha Teissier, Vincent Van Rompaey, Antonino Maniaci European Archives of Oto Rhino Laryngology, 2025
Assessment of Healthcare Providers’ Knowledge on the Management of Pediatric Tracheostomy Emergencies Maha Alharbi, Rakan Almutairi, Salman Alotaibi, Mohammed Alqarny, Faisal AlMudhaibery, Hussein Etwadi, Yousef Aljathlany, Ahmed AlKhateeb, Abdulaziz AlEnazi International Archives of Otorhinolaryngology, 2025 Introduction Morbidity and mortality related to tracheostomy can be reduced if complications are recognized immediately and managed effectively. Healthcare providers involved in the management of pediatric patients must be aware of tracheostomy-related emergencies, especially in life threatening situations. However, there is limited literature on this theme. Objectives To assess the knowledge of healthcare providers in managing tracheostomy-related complications in pediatric patients. Methods A descriptive, multicenter study was conducted among healthcare providers involved in the management of pediatric patients undergoing tracheostomy. Data were collected using electronic questionnaires, and participants' knowledge was evaluated using various clinical scenarios. Results A total of 520 healthcare providers from different subspecialties with varying levels of experience were included. Over 50% of participants had never dealt with tracheostomy-related complications in pediatric populations, and 30.5% were unfamiliar with the function of the introducer/obturator. Furthermore, only 17.9% understood the purpose of stay sutures. Notably, when presented with different clinical scenarios, a significant knowledge gap was observed among the participants. Conclusion There were significant gaps in knowledge among healthcare professionals regarding the management of tracheostomy-related emergencies in the pediatric population. Education on this topic is essential among healthcare professionals. This needs to be addressed to maximize patient safety. Further studies are recommended.
The diagnostic accuracy of the Arabic version of the Pediatric Sleep Questionnaire for screening for pediatric sleep-related breathing disorders in Saudi children Ahmed A. Alkhateeb, Danah F. Alrusayyis, Essa A. Alrashedi, Lama T. Alkhunaizi, Shahad M. Alali, Amal A. Alghamdi Journal of Family and Community Medicine, 2024 BACKGROUND: Pediatric Sleep Questionnaire (PSQ) is a valid, reliable tool for screening for sleep-related breathing disorders (SRBDs) translated into several languages since 2000. The diagnostic accuracy of an Arabic version of the PSQ has never been tested. Our aim was to translate the original version of PSQ into Arabic (Arabic-PSQ), validate it as a reliable screening tool, and compare it to the gold standard diagnostic method for SRBDs. MATERIALS AND METHODS: This was a prospective longitudinal study of 54 children (2–14 years) who were to undergo polysomnography (PSG). SRBD was assessed by administering the Arabic version of PSQ to the parents of these children. The validity and reliability of the Arabic-PSQ were assessed. Data were analyzed using Stata 16. Correlation between with polysomnographic indices and PSQ scores, as well as measurement of the diagnostic accuracy were determined. Receiver operating characteristic analysis between the mean PSQ scores and binary PSG results was done and the area under curve (AUC) value was calculated. RESULTS: Thirty-four (63%) children were diagnosed with obstructive sleep apnea by PSG (Apnea–Hypopnea Index [AHI] ≥1), 26 of whom were accurately identified with the Arabic-PSQ (76.5%). Arabic-PSQ showed comparable validity and reliability. Using a cutoff of 0.33, the score showed a significant correlation with AHI: Rs: 0.30 (P = 0.029). The sensitivity was 76.5%, the specificity was 50%, the positive predictive was 72.2%, the negative predictive value was 55.6%, the positive likelihood ratio was 1.63, and the negative likelihood ratio was 0.37. CONCLUSIONS: The Arabic-PSQ is a valid tool for the screening of Arabic-speaking populations for SRBD. It is valuable for directing the diagnostic approach in a timely and cost-effective manner.
International pediatric otolaryngology group (IPOG) consensus on approach to aspiration Bshair Aldriweesh, Ahmed Alkhateeb, An Boudewyns, Ching Yee Chan, Robert H. Chun, Hamdy G. El-Hakim, Pierre Fayoux, Mark E. Gerber, Sohit Kanotra, Kimberley Kaspy, Haytham Kubba, Elton M. Lambert, Romain Luscan, Sanjay R. Parikh, Reza Rahbar, Scott M. Rickert, John Russell, Mike Rutter, James W. Schroeder, Yehuda Schwarz, Steven E. Sobol, Ravi Thevasagayam, Briac Thierry, Dana M. Thompson, Taher Valika, Karen Watters, Julie L. Wei, Michelle Wyatt, Karen B. Zur, Sam J. Daniel International Journal of Pediatric Otorhinolaryngology, 2024
Rigid Video Laryngoscopy for Intubation in Severe Pierre Robin Sequence: A Retrospective Review Joseph D. Peterson, Michael D. Puricelli, Ahmed Alkhateeb, Aaron D. Figueroa, Steven L. Fletcher, Richard J. H. Smith, Deborah S. F. Kacmarynski Laryngoscope, 2021 Objectives/HypothesisThe anatomy of children with severe Pierre Robin sequence can present a challenge for direct laryngoscopy and intubation. Advanced techniques including flexible fiberoptic laryngoscopic intubation have been described but require highly specialized skill and equipment. Rigid video laryngoscopy is more accessible but has not been described in this population.Study DesignRetrospective cohort study.MethodsA retrospective review was completed at a tertiary care center of all children between January 2016 and March 2020 with Pierre Robin sequence who underwent a mandibular distraction osteogenesis procedure. Intubation events were collected, and a descriptive analysis was performed. A univariate logistic regression model was applied to direct laryngoscopy and flexible fiberoptic laryngoscopy with rigid video laryngoscopy as a reference.ResultsTwenty‐five patients were identified with a total of 56 endotracheal events. All patients were successfully intubated. Direct laryngoscopy was successful at first intubation attempt in 47.3% (9/19) of events. Six direct laryngoscopy events required switching to another device. Rigid video laryngoscopy was successful at first intubation attempt in 80.5% (29/36) of events. Two cases required switching to another device. Flexible fiberoptic laryngoscopy was found successful at first intubation attempt in 88.9% (8/9) of events. Direct laryngoscopy was 4 times more likely to fail first intubation attempt when compared to rigid video laryngoscopy (P < .05). There was no significant difference between rigid video laryngoscopy and flexible fiberoptic laryngoscopy for intubation.ConclusionsFor children with Pierre Robin sequence rigid video laryngoscopy should be considered as a first attempt intubation device both in the operating room and for emergent situations.Level of Evidence4 Laryngoscope, 131:1647–1651, 2021
International Pediatric Otolaryngology Group (IPOG) consensus recommendations: Management of suprastomal collapse in the pediatric population Jaime Doody, Ahmed Alkhateeb, Karthik Balakrishnan, Joshua Bedwell, John Carter, Sukgi S. Choi, Alan T. Cheng, Sam J. Daniel, John Dahl, Alessandro De Alarcon, Pierre Fayoux, Catherine K. Hart, Christopher Hartnick, Nico Jonas, Michael Kuo, Nikki Mills, Harlan Muntz, Richard Nicollas, Seth Pransky, Roger Nuss, Evan J. Propst, Reza Rahbar, Marie-Eva Rossi, Michael J. Rutter, Kishore Sandu, Douglas R. Sidell, Christian Sittel, Richard J.H. Smith, Marlene Soma, Jorge Spratley, Briac Thierry, Dana Thompson, Karen Watters, Todd Wine, Michelle Wyatt, George Zalzal, Carlton J. Zdanski, Karen B. Zur, John Russell International Journal of Pediatric Otorhinolaryngology, 2020
