Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
EXTUBATION FAILURE DUE TO POSTEXTUBATION STRIDOR IS BETTER CORRELATEDWITH NEUROLOGIC IMPAIRMENT THAN WITH UPPER AIRWAY LESIONS IN CRITICALLY ILL PEDIATRIC-PATIENTS
Autore:
HAREL Y; VARDI A; QUIGLEY R; BRINK LW; MANNING SC; CARMODY TJ; LEVIN DL;
Indirizzi:
NEWARK BETH ISRAEL MED CTR,DEPT PEDIAT,201 LYONS AVE NEWARK NJ 07112 PARKLAND MEM HOSP & AFFILIATED INST DALLAS TX 75235 UNIV TEXAS,SW MED CTR,CHILDRENS MED CTR,DEPT PEDIAT DALLAS TX 75235 UNIV TEXAS,SW MED CTR,CHILDRENS MED CTR,DEPT OTOLARYNGOL DALLAS TX 75235 UNIV TEXAS,SW MED CTR,CHILDRENS MED CTR,DEPT ACAD COMP SERV DALLAS TX75235
Titolo Testata:
International journal of pediatric otorhinolaryngology
fascicolo: 2, volume: 39, anno: 1997,
pagine: 147 - 158
SICI:
0165-5876(1997)39:2<147:EFDTPS>2.0.ZU;2-W
Fonte:
ISI
Lingua:
ENG
Soggetto:
CHILDREN; CROUP;
Keywords:
STRIDOR; MECHANICAL VENTILATION; EXTUBATION; CORTICOSTEROID; UPPER AIRWAY; NEUROLOGIC IMPAIRMENT; PEDIATRIC CRITICAL CARE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
9
Recensione:
Indirizzi per estratti:
Citazione:
Y. Harel et al., "EXTUBATION FAILURE DUE TO POSTEXTUBATION STRIDOR IS BETTER CORRELATEDWITH NEUROLOGIC IMPAIRMENT THAN WITH UPPER AIRWAY LESIONS IN CRITICALLY ILL PEDIATRIC-PATIENTS", International journal of pediatric otorhinolaryngology, 39(2), 1997, pp. 147-158

Abstract

The incidence of post-extubation strider (PES) in a pediatric intensive care unit (PICU) and the need for reintubation is not known. Predictors of success on a subsequent extubation attempt and the efficacy ofdexamethasone treatment prior to a subsequent extubation attempt are not established. In a prospective randomized double blind-controlled study in two PICU's in a university children's hospital setting, of 5,566 admissions over 35-months, we identified 32 patients who failed primary extubation and were reintubated for PES. Twenty-six patients wereenrolled in the study and three subsequently excluded. Twelve were randomized to receive dexamethasone and 11 received sodium chloride placebo. Fifteen patients succeeded study extubation and eight failed. Of those receiving dexamethasone, nine patients succeeded and three failed. Of those receiving placebo, six patients succeeded and five failed. There was a poor correlation between anatomical abnormalities of the airway and failure of study extubation. Extubation failure was better correlated with neurologic impairment in the patients. We present a strider score and demonstrate that it is an excellent predictor of success versus failure for the study extubation. Dexamethasone pre-treatment did not reduce strider score. We are unable to conclude if dexamethasone pre-treatment reduces extubation failure. We speculate that neurologic impairment leads to extubation failure in critically ill pediatric patients. (C) 1997 Elsevier Science Ireland Ltd.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 12/07/20 alle ore 06:28:58