Upper airway obstruction by enlarged tonsils

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Upper airway obstruction during midazolam/nitrous oxide sedation in children with enlarged tonsils.

PURPOSE The purpose of this nonrandomized, case-control study was to examine the incidence and severity of upper airway obstruction (UAO) in children with enlarged tonsils during inhalation of nitrous oxide (N2O). METHODS Following premedication with oral midazolam, 0.5 mg/kg, measurements were collected during a 3-minute control period followed by 3 minutes of breathing 50% N2O in oxygen. An...

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Chronic upper airway obstruction is frequently unrecognized or misdiagnosed as other conditions such as asthma or chronic airflow obstruction (CAO). Clinical features such as stridor may lead to diagnosis or it may initially be suspected from the results of pulmonary function tests (PFTs) ordered for another reason. We will review the physiology and the pulmonary function tests which are necess...

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In this review, the characters of children who are admi t ted to PICU wi th severe upper a i rway obstruction will be discussed further. Difficulties of in tubat ion, ind icat ions and compl icat ions o f t racheo tomy w i l l be d i scussed a f te rwards . Angioedema, bacterial tracheitis, acute epiglottitis and croup will be discussed with details separately. Laryngomalacia will also be discu...

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Upper airway obstruction in children.

Poiseuille’s law is central to the understanding and management of all airway obstructions in children, with the clinical impact of even a small reduction in radius being compounded by the inverse relationship of the resistance to the radius to the power 4. Indeed deterioration from a ‘mild’ obstruction to life threatening airway compromise may be heralded by slight decrease in airway diameter ...

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ژورنال

عنوان ژورنال: Anaesthesia

سال: 1991

ISSN: 0003-2409,1365-2044

DOI: 10.1111/j.1365-2044.1991.tb09680.x