| Autor: |
Lukkassen, Ingrid M. A., Hassing, Marre B. F., Markhorst, Dick G. |
| Předmět: |
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| Zdroj: |
Acta Paediatrica; Jan2006, Vol. 95 Issue 1, p74-76, 3p, 1 Chart |
| Abstrakt: |
Objective: To study the effect of dexamethasone on postextubation stridor (PS) incidence and reintubation rate due to PS in a high-risk paediatric intensive care population. Patients and methods: All children aged between 4 wk and 6 y, who were intubated for at least 24 h and extubated between August 1999 and May 2002, were retrospectively included ( n =60). Medical records of the included patients were studied; records of patients treated with dexamethasone prior to and following extubation ( n =23) were compared with control patients who had not received prophylactic medication ( n =37). Results: Nine patients in the control group developed significant postextubation stridor, necessitating nebulized epinephrine or glucocorticosteroids. In six of these children, reintubation as a result of postextubation stridor was indicated. None of the patients treated with dexamethasone developed severe postextubation stridor or required reintubation. Conclusions: The risk of postextubation stridor is relatively high in the group of children aged between 4 wk and 6 y with intubation exceeding 24 h. We found dexamethasone to be effective in preventing reintubation due to postextubation stridor in this paediatric high-risk group. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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