Noninvasive positive-pressure ventilation facilitates tracheal extubation after laryngotracheal reconstruction in children.

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

Chest

journal_title

Chest

authors

Hertzog JH,Siegel LB,Hauser GJ,Dalton HJ

doi

10.1378/chest.116.1.260

subject

Has Abstract

pub_date

1999-07-01 00:00:00

pages

260-3

issue

1

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(15)38188-5

journal_volume

116

pub_type

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