Current Pediatric Research

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- Current Pediatric Research (2011) Volume 15, Issue 2

herapeutic reintubation for extubation failure due to upper airway obstruction in ventilated newborn infants

Postextubation upper airway obstruction can lead to early extubation failure in ventilated newborn infants. Treatment with steroid, nebulized epinephrine and non-invasive respira-tory assistance may not be effective. Reintubation and ventilation for respiratory failure with subsequent extubation attempts or surgical interventions are often employed with vari-able results. A series of 29 infants with failed extubation due to upper airway obstruction, treated by therapeutic reintubation, without ventilation is presented. The therapy was suc-cessful in 24 patients with a median reintubation period of 3.5 days. The important element in achieving success is to choose a smaller size tube which gives an adequate airway.

Author(s): SN Singh, RK Choudhary, Anita Singh, Mala Kumar

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