Prolonged Per-laryngeal Endotracheal Intubation in Children: 40 Years On

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Prolonged endotracheal intubation in infants and children.

A series of sixty-one cases of prolonged pernasal intubation in children for conditions which would otherwise need tracheostomy is presented. One serious complication, namely subglottic cicatricial stenosis of the trachea, has occurred and is discussed. There is a definite place for prolonged pernasal intubation in children under 5 years of age as an alternative to tracheostomy. The most import...

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Prolonged (therapeutic) endotracheal intubation.

In recent years there has been an increased use of therapeutic intubation. It is especially useful in conscious patients postoperatively for periods of a day or so when the need for respiratory assistance is short-lived. It can be utilized for many days but the likelihood of laryngeal damage is probably increased, although in the individual case the shortness of the period of intubation is no g...

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Interarytenoid osseous bridge after prolonged endotracheal intubation.

Posterior glottic stenosis or interarytenoid fibrous adhesion is uncommon and has sometimes been misdiagnosed as cord paralysis. Laryngoscopy and laryngeal electromyography studies are the two main diagnostic aids. We present the case of a 63-year-old man under endotracheal intubation during 10 days after a cardiac procedure who was evaluated in our department for persistent dysphonia. The lary...

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Early tracheostomy versus prolonged endotracheal intubation in severe head injury.

BACKGROUND To see if early tracheostomy (fifth day) reduces duration of mechanical ventilation, ICU stay, incidence of pneumonia and mortality in comparison with prolonged intubation (PI) in patients with head injury. METHODS Patients were prospectively included in this study if they met the following criteria: isolated head injury, Glasgow coma scale (GCS) score < or =8 on first and fifth da...

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Incidence and endoscopic characteristics of acute laryngeal lesions in children undergoing endotracheal intubation.

INTRODUCTION Acute laryngeal lesions after intubation appear to be precursors of chronic lesions. OBJECTIVE To describe the incidence and type of acute laryngeal lesions after extubation in a pediatric intensive care unit (PICU). METHODS A cohort study involving children from birth to <5 years, submitted to intubation for more than 24h in the PICU of an university hospital. In the first eig...

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ژورنال

عنوان ژورنال: Anaesthesia and Intensive Care

سال: 2003

ISSN: 0310-057X,1448-0271

DOI: 10.1177/0310057x0303100609