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

Brazilian Journal of Otorhinolaryngology
Eliandra da Silveira de LimaP J Cauduro Marostica

Abstract

Acute laryngeal lesions after intubation appear to be precursors of chronic lesions. To describe the incidence and type of acute laryngeal lesions after extubation in a pediatric intensive care unit (PICU). 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 eight hours after extubation, a flexible fiberoptic laryngoscopy (FFL) was performed at the bedside. Those with moderate to severe abnormalities underwent a second examination seven to ten days later. 177 patients were included, with a median age of 2.46 months. The mean intubation time was 8.19 days. Seventy-three (41.2%) patients had moderate or severe alterations at the FFL, with the remaining showing only minor alterations or normal results. During follow-up, 16 children from the group with moderate to severe lesions developed subglottic stenosis. One patient from the normal FFL group had subglottic stenosis, resulting in an incidence of 9.6% of chronic lesions. Most children in the study developed mild acute laryngeal lesions caused by endotracheal intubation, which improved in a few days after extubation.

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Citations

Jun 1, 2016·International Journal of Pediatric Otorhinolaryngology·Bhartendu BhartiMary Kurien
Oct 22, 2016·Respirology : Official Journal of the Asian Pacific Society of Respirology·Beomsu ShinHojoong Kim
Mar 2, 2018·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Robert J StachlerLorraine C Nnacheta
Mar 2, 2018·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Robert J StachlerLorraine C Nnacheta
Mar 5, 2020·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·L L VederB Pullens
Dec 29, 2019·Pediatrics International : Official Journal of the Japan Pediatric Society·Erkan CakirFatma Betul Cakir
Aug 12, 2021·Journal of Medicine and Life·Ali Ahmad Al Saeg, Haitham Alnori

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