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As the incidence of long-term pediatric tracheostomy has risen, general pediatricians increasingly care for children with tracheostomies in the outpatient setting. Pediatric patients who require tracheostomy are a diverse group of patients with complex needs. Optimal care for the child with a long-term tracheostomy requires a collaborative medical home, with several interdisciplinary team members. In addition to the primary care physician, the team includes an otolaryngologist or surgeon to place the tracheostomy, coordinate equipment and supplies, and provide ongoing tracheostomy care; a pulmonologist to monitor the patient’s respiratory status; a speech therapist to assist with speech and/or swallowing; home nursing...

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