Postextubation Stridor in Adult Icu Patients
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چکیده
EVIDENCE DEFINITIONS Class I: Prospective randomized controlled trial. Class II: Prospective clinical study or retrospective analysis of reliable data. Includes observational, cohort, prevalence, or case control studies. Class III: Retrospective study. Includes database or registry reviews, large series of case reports, expert opinion. Technology assessment: A technology study which does not lend itself to classification in the above-mentioned format. Devices are evaluated in terms of their accuracy, reliability, therapeutic potential, or cost effectiveness.
منابع مشابه
The role of the cuff leak test in predicting the effects of corticosteroid treatment on postextubation stridor.
BACKGROUND There is not enough evidence to determine the most appropriate treatment of postextubation stridor. Although the cuff leak test is a simple method to predict postextubation stridor, little is known about its use in monitoring the effects of steroid treatment for this complication. The aim of this study was to evaluate the effect of steroids on postextubation stridor based on the clin...
متن کاملIntravenous injection of methylprednisolone reduces the incidence of postextubation stridor in intensive care unit patients.
OBJECTIVE To determine whether treatment with corticosteroids decreases the incidence of postextubation airway obstruction in an adult intensive care unit. DESIGN Clinical experiment. SETTING Adult medical and surgical intensive care unit of a teaching hospital. PATIENTS One hundred twenty-eight patients who were intubated for >24 hrs with a cuff leak volume <24% of tidal volume and met w...
متن کاملThe use of dexamethasone in the prevention of postextubation stridor in pediatric patients in PICU/NICU settings: an analytical review.
ISSUES AND PURPOSE Dexamethasone has been used to prevent postextubation stridor in children, but its use is controversial. Five randomized, controlled clinical trials were reviewed to analyze the effectiveness of prophylactic dexamethasone on postextubation stridor in pediatric patients. CONCLUSIONS Previous studies had inconsistent results. Several factors may contribute to postextubation s...
متن کاملDexamethasone to prevent postextubation airway obstruction in adults: a prospective, randomized, double-blind, placebo-controlled study
INTRODUCTION Prophylactic steroid therapy to reduce the occurrence of postextubation laryngeal edema is controversial. Only a limited number of prospective trials involve adults in an intensive care unit. The purpose of this study was to ascertain whether administration of multiple doses of dexamethasone to critically ill, intubated patients reduces or prevents the occurrence of postextubation ...
متن کاملLaryngeal Ultrasonography Versus Cuff Leak Test in Predicting Postextubation Stridor
INTRODUCTION Although cuff leak test has been proposed as a simple method of predicting the occurrence of postextubation stridor, cut-off point of cuff-leak volume substantially differs between previous studies. In addition, laryngeal ultrasonography including measurement of air column width could predict postextubation stridor. The aim of the present study was to evaluate the value of laryngea...
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تاریخ انتشار 2012