Abstract:
:Tracheal extubation after laryngotracheal reconstruction in children may be complicated by postoperative tracheal edema and pulmonary dysfunction. The replacement of a tracheal tube in this situation may exacerbate the existing injury to the tracheal mucosa, complicating subsequent attempts at tracheal extubation. We present two cases where noninvasive positive-pressure ventilation was employed to treat partial airway obstruction and respiratory failure in two children following laryngotracheal reconstruction. Noninvasive positive-pressure ventilation served as a bridge between mechanical ventilation via a tracheal tube and spontaneous breathing, providing airway stenting and ventilatory support while tracheal edema and pulmonary dysfunction were resolved. Under appropriate conditions, noninvasive positive-pressure ventilation may be useful in the management of these patients.
journal_name
Chestjournal_title
Chestauthors
Hertzog JH,Siegel LB,Hauser GJ,Dalton HJdoi
10.1378/chest.116.1.260subject
Has Abstractpub_date
1999-07-01 00:00:00pages
260-3issue
1eissn
0012-3692issn
1931-3543pii
S0012-3692(15)38188-5journal_volume
116pub_type
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