What is post-extubation stridor?

Post-extubation stridor is the presence inspiratory noise post-extubation indicated narrowing of the airway (can be supraglottic, but usually glottic and infraglottic) ETT can cause laryngeal oedema and ulceration as well as at the site where the cuff abuts the trachea.

What causes stridor after extubation?

Laryngeal edema (LE) is a frequent complication of intubation and is caused by trauma to the larynx [1, 2]. The edema results in a decreased size of the laryngeal lumen, which may present as stridor or respiratory distress (or both) following extubation.

What is the number one complication of post-extubation?

The main complication of post-extubation laryngeal edema is reintubation. The incidence of extubation failure, however, varies widely – incidences up to 18% are reported [5,10,27]. Extubation failure is often defined as reintubation within a certain time after extubation.

What drug is used to treat post-extubation stridor?

Corticosteroids for the prevention and treatment of post-extubation stridor in neonates, children and adults.

How do you stop post-extubation stridor?

Management of post-extubation stridor

1. Best to give steroids 12-24 hours prior to the extubation attempt (trials of single-dose regimens given one hour prior to extubation did not show any benefit)
2. 20mg Methylprednisolone as 3 4-hourly doses is an appropriate choice, following François et al (2007)

How do you stop post extubation stridor?

Will stridor go away?

In most cases, congenital laryngeal stridor is a harmless condition that goes away on its own. Although not common, some babies develop severe breathing problems which need treatment. Treatment may include medicines, a hospital stay, or surgery. Treatment will depend on your baby’s symptoms, age, and general health.

What are the side effects of intubation?

Potential side effects and complications of intubation include:

• damage to the vocal cords.
• bleeding.
• infection.
• tearing or puncturing of tissue in the chest cavity that can lead to lung collapse.
• injury to throat or trachea.
• damage to dental work or injury to teeth.
• fluid buildup.
• aspiration.

Can intubated patients hear you?

They do hear you, so speak clearly and lovingly to your loved one. Patients from Critical Care Units frequently report clearly remembering hearing loved one’s talking to them during their hospitalization in the Critical Care Unit while on “life support” or ventilators.

How do you treat post-extubation stridor?

How is stridor treated?

How is stridor treated?

1. refer you to an ear, nose, and throat specialist.
2. provide oral or injected medication to decrease swelling in the airway.
3. recommend hospitalization or surgery in severe cases.
4. require more monitoring.

Can a laryngeal stridor lead to endotracheal intubation?

Endotracheal intubation is frequently complicated by laryngeal edema, which may present as postextubation stridor or respiratory difficulty or both. Ultimately, postextubation laryngeal edema may result in respiratory failure with subsequent reintubation.

What is the risk of post extubation stridor?

SUMMARY Post-extubation stridor secondary to laryngeal edema may occur in up to 37% of extubated patients and is associated with increase cost, morbidity and mortality. The risk of laryngeal edema may be evaluated by the cuff leak test.

Which is a clinical marker of postextubation stridor?

The decreased airway lumen results in an increase of air flow velocity, leading to postextubation stridor (PES), which is a clinical marker of relevant PLE.

How is post extubation stridor secondary to laryngeal edema diagnosed?

Post-extubation stridor secondary to laryngeal edema may occur in up to 37% of extubated patients and is associated with increase cost, morbidity and mortality. The risk of laryngeal edema may be evaluated by the cuff leak test.