Postextubation stridor after prolonged intubation in the pediatric intensive care unit (PICU): A prospective observational cohort study
European Archives of Oto-Rhino-Laryngology Mar 08, 2020
Veder LL, Joosten KFM, Schlink K, et al. - In this prospective observational cohort study, researchers determined the incidence of postextubation stridor and their clinical consequences in children within a tertiary referral center and identified contributing factors. One hundred fifty children (aged 0–16 years) intubated for more than 24 h were prospectively recruited until discharge of the hospital. Only few children need reintubation or surgical intervention as a result of postextubation lesions in spite of a high incidence for postextubation stridor. Intubation on the scene, the use of cuffed tubes and young age are linked to a significantly increased postextubation stridor risk. Being aware of these factors offers the opportunity to predict the situation and mitigate laryngeal injury and its possible future implications.
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