Systemwide Change of Sedation Wean Protocol Following Pediatric Laryngotracheal Reconstruction

Systemwide change of sedation wean protocol following pediatric laryngotracheal reconstruction.

IMPORTANCE Pediatric laryngotracheal reconstruction (LTR) remains the standard surgical technique for expanding a stenotic airway and necessitates a multidisciplinary team. Sedation wean following LTR is a critical component of perioperative care. We identified variation and communications deficiencies with our sedation wean practice and describe our experience implementing a standardized sedat...

Laryngotracheal reconstruction in total laryngotracheal transection.

A case of laryngotracheal trauma (LTT) was brought to hospital in emergency. After securing airway, neck was explored and total laryngotracheal separation together with crushed anterior and posterior tracheal walls was found. Cricotracheal anastomosis and anterior tracheal wall was repaired with perichondrium lined rib graft. Recovery was good, required dilatation once without any serious posto...

OTOLARYNGOLOGIC CLINICS ISSUE: PAEDIATRIC LARYNGOTRACHEAL RECONSTRUCTION Edited by Dr Peter Koltai Single and Multi Stage Pediatric Laryngotracheal Reconstruction

Parental Satisfaction with the Pediatric Sedation Service Following Procedural Sedation

Introduction: Pediatric procedural sedation (PPS) is widely used to facilitate diagnostic and therapeutic procedures outside the operating room. Effective sedation decreases anxiety, discomfort, and pain. In addition, children can be effectively immobilized without the psychological trauma of physical restraint, thereby increasing the success rate of the procedure or investigation performed. De...

Pitfalls in laryngotracheal reconstruction.

OBJECTIVE To determine the causes of laryngotracheal reconstruction (LTR) failures. DESIGN Retrospective chart review. SETTING Tertiary care children's hospital. PATIENTS Seventeen pediatric patients who underwent revision LTR from October 1, 1986, to December 31, 1998. INTERVENTION Laryngotracheal reconstruction. MAIN OUTCOME MEASURE Decannulation. RESULTS Seventeen patients requir...