Early extubation following major tracheal surgery in select children.
Major airway surgery in children has traditionally consisted of a period of endotracheal intubation after the procedure for a period of 1-2 weeks to ensure stability of the repair. Recent literature has supported a trend toward decreasing this time period to prevent the consequences of leaving a foreign body in the airway and the morbidity associated with the use of sedation and narcotics in children. We present a series of five select children from our institution that underwent major tracheal surgery and were successfully extubated early in their postoperative course; four on postoperative day number 1. This demonstrates the feasibility of this approach in select patients.
Brown
Seth M
SM
Department of Otolaryngology, Montefiore Medical Center, Albert Einstein College of Medicine, 3rd Floor, Bronx, NY 10467, USA.
Rosenberg
Joshua D
JD
Parikh
Sanjay R
SR
D000293:Adolescent; D000402:Airway Obstruction / Q000601:surgery*; D002675:Child, Preschool; D020878:Device Removal; D005260:Female; D006801:Humans; D007223:Infant; D007442:Intubation, Intratracheal; D008297:Male; D011184:Postoperative Period; D012189:Retrospective Studies; D015607:Stents; D013997:Time Factors; D014140:Tracheotomy