Post-extubation Stridor

  • Robinder G. Khemani
  • Adrienne Randolph
  • Barry Markovitz
Chapter
First Online:

Abstract

While endotracheal intubation is often necessary to facilitate mechanical ventilation for critically ill children, it has been associated with the development of upper airway obstruction upon extubation (Koka et al. 1977; Stoelting and Procter 1968; Pender 1954). With the evolution of intubation, sedation, and mechanical ventilation practices in pediatric intensive care units, the overall incidence of severe post-extubation stridor has decreased, and long-term complications from endotracheal intubation such as subglottic stenosis (Strong and Passy 1977; Markham et al. 1967; Abbott 1968) are now infrequent. Nonetheless, post-extubation stridor results in short-term morbidity with increased length of mechanical ventilation and intensive care unit (ICU) length of stay (Kurachek et al. 2003).

Keywords

Airway Obstruction Endotracheal Tube Pediatric Intensive Care Unit Endotracheal Intubation Noninvasive Positive Pressure Ventilation 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
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Copyright information

© Springer-Verlag Berlin Heidelberg 2015

Authors and Affiliations

  • Robinder G. Khemani
    • 1
  • Adrienne Randolph
    • 2
  • Barry Markovitz
    • 3
  1. 1.Department of Anesthesiology and Critical Care MedicineUniversity of Southern California, Keck School of Medicine, Children’s Hospital Los AngelesLos AngelesUSA
  2. 2.Department of AnesthesiaChildren’s HospitalBostonUSA
  3. 3.Department of Anesthesiology and Critical CareMedicine Children’s HospitalLos AngelesUSA

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