Tenuous Airway in Children With Trisomy 21
Identifieur interne : 000439 ( Main/Exploration ); précédent : 000438; suivant : 000440Tenuous Airway in Children With Trisomy 21
Auteurs : Andrew L. De Jong ; Marcelle Sulek ; Michael Nihill ; Newton O. Duncan ; Ellen M. Friedman [États-Unis]Source :
- The Laryngoscope [ 0023-852X ] ; 1997-03.
Abstract
Multiple congenital anomalies are closely linked to Down syndrome(trisomy 21). Cardiac malformations are found in 40% of patients, a large number of whom will require a major surgical procedure. The importance of postextubation stridor in these children is frequently underestimated. A retrospective review of 99 trisomy 21 patients who underwent cardiovascular surgery revealed postextubation stridor in 24 (24.2%). Significant factors for the development of stridor included younger age (P=0.04), lower growth percentile for weight (P=0.03), and increased frequency of reintubation(P=0.04). Subglottic stenosis was found in 6 (6.1%). In 4 of these patients, an endotracheal tube of larger diameter than predicted for age was used. All 6 patients were less than the 10th percentile for weight. We conclude that Down syndrome patients deserve special considerations and modifications of standard intubation techniques for successful airway management.
Url:
DOI: 10.1097/00005537-199703000-00013
Affiliations:
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Friedman</name><affiliation></affiliation><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Ellen M. 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Cardiac malformations are found in 40% of patients, a large number of whom will require a major surgical procedure. The importance of postextubation stridor in these children is frequently underestimated. A retrospective review of 99 trisomy 21 patients who underwent cardiovascular surgery revealed postextubation stridor in 24 (24.2%). Significant factors for the development of stridor included younger age (P=0.04), lower growth percentile for weight (P=0.03), and increased frequency of reintubation(P=0.04). Subglottic stenosis was found in 6 (6.1%). In 4 of these patients, an endotracheal tube of larger diameter than predicted for age was used. All 6 patients were less than the 10th percentile for weight. We conclude that Down syndrome patients deserve special considerations and modifications of standard intubation techniques for successful airway management.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Texas</li></region></list><tree><noCountry><name sortKey="De Jong, Andrew L" sort="De Jong, Andrew L" uniqKey="De Jong A" first="Andrew L." last="De Jong">Andrew L. De Jong</name><name sortKey="Duncan, Newton O" sort="Duncan, Newton O" uniqKey="Duncan N" first="Newton O." last="Duncan">Newton O. Duncan</name><name sortKey="Nihill, Michael" sort="Nihill, Michael" uniqKey="Nihill M" first="Michael" last="Nihill">Michael Nihill</name><name sortKey="Sulek, Marcelle" sort="Sulek, Marcelle" uniqKey="Sulek M" first="Marcelle" last="Sulek">Marcelle Sulek</name></noCountry><country name="États-Unis"><region name="Texas"><name sortKey="Friedman, Ellen M" sort="Friedman, Ellen M" uniqKey="Friedman E" first="Ellen M." last="Friedman">Ellen M. Friedman</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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