PMID: 15253034Jul 16, 2004Paper

Incidence and endoscopic characteristics of airway injuries associated endotracheal intubation in children

Revista da Associação Médica Brasileira
Andréa Maria Gomes CordeiroEduardo Juan Troster

Abstract

Describe the incidence and endoscopic characteristics of airway injuries in children submitted to intubation. During a two-year period (October/1999-October/2001) we conducted a prospective study in which all patients that required intubation, excluding those who deceased before extubation and newborns (NB) weighing less than 1.250 g, were submitted to airway endoscopy at extubation. The endoscopic findings were classified as minor, moderate or severe. Descriptions were made through proportions and medians, comparisons were done through chi-square for proportions. We studied 61 NB and 154 children. In 89.8%, 55 NB and 138 children (P=0.89), it was detected at least one lesion in a total of 507. Patients with minor lesions were 54.8% (IC95%: 48.1-61.5), those with moderate were 24.2% (IC95%: 18.5-30.0) and severe injury occurred in 10.7% (IC95%: 6.6-14.8). Lesions at the glottis (48.1% of lesions) and subglottis (35.1%) presented the highest incidence. Erosions had the highest incidence in both age groups (P=0.88). Vocal folds edema was the main moderate lesion in both groups (P=0.96), followed by ulcerations (P=0.92). Fibrous nodules at vocal folds and adhesions were the main severe injuries in both groups (P=0.12). Subglottic ...Continue Reading

Citations

Mar 2, 2013·The Journal of Laryngology and Otology·C SchweigerG Kuhl
Mar 23, 2019·Ear, Nose, & Throat Journal·Olaf ZagólskiAleksandra Grudzień-Ziarno
Apr 9, 2010·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Adebayo OshodiThomas L Miller
Apr 26, 2017·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·Denise ManicaPaulo José Cauduro Marostica
Oct 12, 2011·Current Opinion in Otolaryngology & Head and Neck Surgery·Julie L Wei, Justin Bond

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