title: Postextubation airway management with nasal continuous positive airway pressure in a child with Down syndrome.
abstract: We describe our experience with use of variable-flow nasal continuous positive airway pressure (NCPAP) to manage postextubation stridor in a 31-month-old child with Down syndrome (DS). Although it has been recognized that children with DS tend to develop obstruction of the upper airway postoperatively, little is known concerning appropriate management of this situation. Although there are surprisingly few reports of use of variable-flow NCPAP for children older than preterm infants, we successfully treated postextubation ventilatory complications by providing variable-flow NCPAP without complications such as pneumothorax.
authors.affiliation: Department of Anesthesiology and Medical Crisis Management, Nagoya City University Graduate School of Medical Sciences, Nagoya 467-8601, Japan.
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Ito
authors.forename: Kazuya
authors.initials: K
authors.lastname: Sobue
authors.forename: Min-Hye
authors.initials: MH
authors.lastname: So
authors.forename: Takeshi
authors.initials: T
authors.lastname: Sugiura
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Sasano
authors.forename: Akinori
authors.initials: A
authors.lastname: Takeuchi
authors.forename: Hirotada
authors.initials: H
authors.lastname: Katsuya
mesh_terms: D000769:Anesthesia, Inhalation; D006348:Cardiac Surgical Procedures; D045422:Continuous Positive Airway Pressure; D004314:Down Syndrome / Q000150:complications*; D004694:Endocardial Cushion Defects / Q000601:surgery; D006801:Humans; D007223:Infant; D008297:Male; D011182:Postoperative Care; D012135:Respiratory Sounds / Q000209:etiology