Postoperative medical management in single-stage laryngotracheoplasty

Archives of Otolaryngology--head & Neck Surgery
M A RothschildR T Cotton

Abstract

To determine whether it is safe and effective to avoid the use of neuromuscular relaxants in patients who have indwelling nasotracheal tubes after undergoing single-stage laryngotracheoplasty. Retrospective case series. University-based referral center specializing in the surgical management of laryngotracheal stenosis and other pathologic conditions of the airway. Referred sample of 104 consecutive patients (67 males, 37 females) undergoing single-stage laryngotracheoplasty for subglottic stenosis. Single-stage laryngotracheoplasty. Incidence of accidental extubation, use of neuromuscular relaxants, incidence of reintubation after planned extubation, duration of intubation, overall rate of successful airway expansion. One patient self-extubated without sequelae. One patient required a brief course of neuromuscular relaxants. The success rate (without further laryngotracheoplasty) for all patients was 86% (89/104). For the 25 patients operated on in 1992, with at least 1 year of follow-up, the success rate was 92% (23/25). Single-stage laryngotracheoplasty can be done safely and effectively without using paralyzing agents in the postoperative period. This approach has certain advantages, which are discussed.

Citations

Jun 1, 1997·Chest·K D PereiraR H Lazar
Apr 12, 2016·International Journal of Pediatric Otorhinolaryngology·Eric BauerCharles A Elmaraghy
Sep 9, 2008·Otolaryngologic Clinics of North America·Gregory B Hammer
Sep 9, 2008·Otolaryngologic Clinics of North America·Simone J Boardman, David M Albert
Nov 10, 2004·International Journal of Pediatric Otorhinolaryngology·A Safdar, J D Russell
Dec 20, 2005·American Journal of Otolaryngology·Kevin EmerickChristopher Hartnick
Jan 19, 2000·Otolaryngologic Clinics of North America·R T Cotton
Aug 13, 2013·International Journal of Pediatric Otorhinolaryngology·Matthew A PowersPeggy E Kelley
May 12, 2005·International Journal of Pediatric Otorhinolaryngology·P P RoeleveldM de Hoog
Dec 1, 1999·The Annals of Otology, Rhinology, and Laryngology·J P LudemannL D Holinger
Jul 3, 2013·The Annals of Otology, Rhinology, and Laryngology·Elena B WillisJohn P Bent
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, 2019·JAMA Otolaryngology-- Head & Neck Surgery·Sarah N BoweChristopher J Hartnick
Jun 18, 2005·Paediatric Anaesthesia·Gregory B HammerPeter J Koltai
Feb 15, 2001·Critical Care Medicine·B R JacobsR J Brilli
Aug 21, 2013·The Annals of Otology, Rhinology, and Laryngology·Jennifer SetlurChristopher J Hartnick

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