title: Successful Extubation Using Heliox BiPAP in Two Patients with Postextubation Stridor.
abstract: Postextubation stridor is associated with significant morbidity. It commonly results in extubation failure after established medical treatment fails, such as nebulized epinephrine and/or intravenous steroids. The role of heliox (i.e., combination of helium and oxygen) in managing patients with postextubation stridor has not been fully established. We report two cases of postextubation stridor successfully treated with heliox delivered with bilevel positive airway pressure (BiPAP) after failure of standard medical therapy.
authors.affiliation: Department of Neurology, University of Missouri, 5 Hospital Drive, CE 540, Columbia, MO 65211, USA.
authors.forename: Pragya
authors.initials: P
authors.lastname: Punj
authors.affiliation: Department of Neurology, University of Missouri, 5 Hospital Drive, CE 540, Columbia, MO 65211, USA.
authors.forename: Premkumar
authors.initials: P
authors.lastname: Nattanmai
authors.affiliation: Cleveland Clinic, Cerebrovascular Center, Neurological Institute, 9500 Euclid Avenue, Cleveland, OH 44195-5245, USA.
authors.forename: Pravin
authors.initials: P
authors.lastname: George
authors.affiliation: Department of Neurology, University of Missouri, 5 Hospital Drive, CE 540, Columbia, MO 65211, USA.
authors.forename: Christopher R
authors.identifier: 0000-0002-9386-7791
authors.initials: CR
authors.lastname: Newey