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Int. J. Pediatr. Otorhinolaryngol. · Feb 1986
Prevention of subglottic stenosis in neonatal ventilation.
- I A Laing, D L Cowan, G M Ballantine, and R Hume.
- Int. J. Pediatr. Otorhinolaryngol. 1986 Feb 1;11(1):61-6.
AbstractMechanical ventilation of the newborn is now widely used in neonatal intensive care. The oro-tracheal route of intubation is simpler, but for long-term ventilation has been considered unstable. A method of fixation of oro-tracheal tubes is described which overcomes this instability. Five hundred consecutive ventilated infants were intubated by the oro-tracheal route and the tube was fixed by the method described. Of the 500 ventilated infants, 213 died without being extubated. Of the 287 survivors, 44 developed a degree of post-extubation stridor. No surviving infant developed clinical evidence of subglottic stenosis and in almost 200 postmortem examinations laryngeal narrowing was not identified. The method of oro-tracheal fixation described is stable and may reduce the incidence of subglottic stenosis.
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