Comparison of early and late extubation following single-stage anterior laryngotracheoplasty

International Journal of Pediatric Otorhinolaryngology
Caitlin P McMullenSanjay R Parikh

Abstract

To compare the outcomes of early versus late extubation after primary single-stage anterior laryngotracheoplasty (LTP) using thyroid ala graft performed at our tertiary care academic children's hospital. Twenty-five pediatric patients underwent single-stage anterior LTP using thyroid ala grafts between September 2002 and June 2009. Initial trials of extubation were attempted in 15 patients on or prior to postoperative day (POD) 2 and in 10 patients on or after POD 3. The main outcome measures analyzed in this retrospective comparison study were complication rate, length of hospitalization, reintubation during hospitalization, need for additional airway procedures, and overall decannulation rate. The rates of various complications in each group were not statistically significant, with the exception of methadone taper. No patients in the early extubation group and four patients in the late extubation group required methadone taper [p<0.05]. The average length of hospitalization after extubation for the early extubation group was 16.5 days [SD=14.0] and 14.6 days [SD=7.7] for the late extubation group [p>0.05]. Six patients (40%) in the early extubation group and two (20%) in the late extubation group needed reintubation at some p...Continue Reading

References

Dec 1, 1984·Journal of Pediatric Surgery·R T Cotton
Apr 1, 1994·The Annals of Otology, Rhinology, and Laryngology·C M MyerR T Cotton
Apr 1, 1996·The Annals of Otology, Rhinology, and Laryngology·N M BaumanR J Smith
Mar 1, 1997·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·R T Younis, R H Lazar
Dec 31, 1997·Archives of Otolaryngology--head & Neck Surgery·W F McGuirtG B Healy
Apr 6, 1999·Archives of Otolaryngology--head & Neck Surgery·C T McQueenD M Albert
Jan 11, 2000·Archives of Otolaryngology--head & Neck Surgery·A L de JongV Forte
Oct 6, 2000·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·L M GustafsonR T Cotton
Feb 15, 2001·Critical Care Medicine·B R JacobsR J Brilli
May 25, 2001·The Annals of Otology, Rhinology, and Laryngology·B E HartleyR T Cotton
Apr 10, 2002·Critical Care Medicine·Robin L Kloth, Victor C Baum
Sep 6, 2003·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Ramzi T YounisFrank Astor
Oct 12, 2005·International Journal of Pediatric Otorhinolaryngology·P FayouxN Bernheim
Oct 31, 2007·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·M Susan MandellIgal Kam
Sep 9, 2008·Otolaryngologic Clinics of North America·Simone J Boardman, David M Albert

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