Complications of airway intrusion in 100 consecutive cases in a pediatric ICU

Critical Care Medicine
J P OrlowskiR S Crumrine

Abstract

One-hundred consecutive patients who underwent orotracheal intubation (OT), nasotracheal intubation (NT), or tracheostomy in the pediatric ICU were evaluated for complications of these airway invasions. Twelve patients had major complications as a result of airway intervention. The mortality for patients requiring mechanical ventilation was 17% as compared with a total overall mortality of 8.3% for patients in the pediatric ICU. Major complications occurred in 10% of patients who had orotracheal intubation, in 11% of patients who had nasotracheal intubations, and in 26% of patients subjected to tracheostomy. Laryngotracheobronchitis (croup) was the primary diagnosis associated with the highest rate of complications. An association was found between the occurrence of seizures or hypoperfusion state (shock) while intubated and the occurrence of major complications of airway intrusion. Acquired infections of the respiratory tract with Hemophilus influenzae, Pseudomonas, Klebsiella, and Candida albicans were also associated with a high rate of complications.

Citations

Jun 16, 2010·World Journal of Pediatrics : WJP·Juan I Muñoz-BonetJuan Brines
Jun 16, 2007·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Baruch KlinZvi Nevo
Apr 29, 2005·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·James P MarcinRobert K Pretzlaff
Apr 29, 2005·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Steven D BaischDavid N Cornfield
Oct 2, 2009·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Paulo Sérgio Lucas da Silva, Werther Brunow de Carvalho
May 1, 1992·Postgraduate Medical Journal·R H Gunawardana
Oct 1, 1996·Intensive Care Medicine·J J StamboulyR A Boxer
Mar 13, 2001·Chest·S EdmundsR Harrison
Nov 1, 1994·Disease-a-month : DM·T B Bezzant, J D Mortensen
Nov 1, 1987·International Journal of Pediatric Otorhinolaryngology·L BrodskyJ F Stanievich
Jan 1, 1987·Annales Françaises D'anesthèsie Et De Rèanimation·M L Dutoit-Marco, D Schwander
Jan 30, 2015·The British Journal of Surgery·G Z TeohA M Seifalian
Sep 15, 2016·Lung India : Official Organ of Indian Chest Society·Miguel Angel Palomero-RodríguezAntonio Pérez Ferrer
May 1, 1990·The Annals of Otology, Rhinology, and Laryngology·K M GrundfastR Fink
Mar 20, 1998·AACN Clinical Issues·N E PageS Luke
Dec 1, 1981·The Australian and New Zealand Journal of Surgery·O F James, P G Moore
May 5, 2010·Current Opinion in Anaesthesiology·Edoardo CalderiniPaolo Pelosi
Apr 1, 2020·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Claire E ChristianMartin K Wakeham
May 25, 2001·The Annals of Otology, Rhinology, and Laryngology·D G DillardI N Jacobs
Nov 3, 2020·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Vijay Kumar Saini, Suresh Kumar Angurana

❮ Previous
Next ❯

Related Concepts

Related Feeds

Candida albicans

Candida albicans is an opportunistic, fungal pathogen of humans that frequently causes superficial infections of oral and vaginal mucosal surfaces of debilitated and susceptible individuals. Discover the latest research on Candida albicans here.

Candidiasis

Candidiasis is a common fungal infection caused by Candida and it can affect many parts for the body including mucosal membranes as well as the gastrointestinal, urinary, and respiratory tracts. Here is the latest research.

Candidiasis (ASM)

Candidiasis is a common fungal infection caused by Candida and it can affect many parts for the body including mucosal membranes as well as the gastrointestinal, urinary, and respiratory tracts. Here is the latest research.