Managing tracheal extubation in infants with stridor and congenital neuraxial anomalies

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Managing tracheal extubation in infants with stridor and congenital neuraxial anomalies

Stridor is a serious complication of congenital neuraxial anomalies, which though, can get completely resolved with early neurosurgical correction of the anomaly. However, stridor relief may or may not be achieved soon after surgery. Persistent postoperative stridor can potentially cause extubation failure that may be difficult to handle in small children. There are no extubation guidelines for...

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Inspiratory stridor after tracheal intubation with a MicroCuff® tracheal tube in three young infants.

748 March 2013 U ncuffed tracheal tubes (TTs) have been the standard for tracheal intubation in infants and children for decades until the recent introduction of the Microcuff (Kimberley-clark, Roswell, GA) cuffed TT. evidence suggests that the incidence of perioperative airway events after use of these new TTs is small,1,2 although the evidence for their safe use in neonates and young infants ...

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Tracheal extubation.

Tracheal extubation in both the critical care and anesthesia setting is not only an important milestone for patient recovery, but also a procedure that carries a considerable risk of complication or failure. Mechanical ventilation is associated with significant complications that are time-dependent in nature, with a longer duration of intubation resulting in a higher incidence of complications,...

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Post-extubation stridor in Down's syndrome.

Laryngeal oedema, giving rise to stridor, is a recognized although rare complication following extubation of the trachea in children. It was our clinical impression that children with Down's syndrome, in particular, had a tendency to develop obstruction of the airway following operation. In Down's syndrome there are many abnormalities which affect the face and skull: those affect' ing the airwa...

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Iatrogenic tracheal flap mimicking tracheal stenosis with resultant stridor.

OBJECTIVE To illustrate a case of an iatrogenic mucosal tear in the trachea which caused a one-way valve effect, obstructing the airway and manifesting as post-extubation stridor. CASE REPORT We report a case of iatrogenic tracheal mucosal tear secondary to violent movement during intubation. The patient presented with post-extubation stridor that worsened over three days. Initial evidence su...

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ژورنال

عنوان ژورنال: Journal of Pediatric Neurosciences

سال: 2016

ISSN: 1817-1745

DOI: 10.4103/1817-1745.199472