title: Incidence of and risk factors for airway complications following endotracheal intubation for bronchiolitis.
abstract: OBJECTIVE
  To identify risk factors predisposing to postextubation complications and the incidence of subglottic stenosis following endotracheal intubation for bronchiolitis.
  
  
  METHODS
  A review of 144 consecutive infants and children intubated for bronchiolitis between 2000 and 2005 at a regional children's hospital.
  
  
  RESULTS
  The mean age at diagnosis was 6.4 months. Follow-up data were available in 93 patients (64.6%), and average length of follow-up was 9.3 months. One hundred and three patients (71.5%) had positive RSV detection. Average duration of intubation was 5.5 days. Twenty-six patients (18.1%) required reintubation during the same admission. Children intubated for less than 3 days and those greater than 12 months of age were more likely to experience postextubation difficulties. Approximately 40% of patients experienced postextubation difficulties. Subglottic pathology was found on endoscopy in 6 patients (4%). There were no cases of long-term subglottic stenosis.
  
  
  CONCLUSIONS
  Immediate postextubation complications are common after bronchiolitis, especially in patients intubated for less than 3 days and greater than 12 months of age. We found no evidence of long-term subglottic stenosis in this population.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, University of Kansas School of Medicine, Kansas City, Kansas, USA.
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Jorgensen
authors.forename: Julie L
authors.initials: JL
authors.lastname: Wei
authors.forename: Kevin J
authors.initials: KJ
authors.lastname: Sykes
authors.forename: Stephen A
authors.initials: SA
authors.lastname: Klem
authors.forename: Robert A
authors.initials: RA
authors.lastname: Weatherly
authors.forename: Daniel E
authors.initials: DE
authors.lastname: Bruegger
authors.forename: Adriane D
authors.initials: AD
authors.lastname: Latz
authors.forename: Pamela J
authors.initials: PJ
authors.lastname: Nicklaus
mesh_terms: D001988:Bronchiolitis / Q000150:complications*; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015994:Incidence; D007223:Infant; D007231:Infant, Newborn; D015278:Intensive Care Units, Pediatric; D007442:Intubation, Intratracheal / Q000009:adverse effects*; D007829:Laryngostenosis / Q000453:epidemiology*; D008297:Male; D012121:Respiration, Artificial; D012131:Respiratory Insufficiency / Q000209:etiology / Q000628:therapy*; D018357:Respiratory Syncytial Virus Infections / Q000150:complications; D012189:Retrospective Studies; D012307:Risk Factors