Incidence and endoscopic characteristics of acute laryngeal lesions in children undergoing endotracheal intubation

ABSTRACT INTRODUCTION: Acute laryngeal lesions after intubation appear to be precursors of chronic lesions. OBJECTIVE: To describe the incidence and type of acute laryngeal lesions after extubation in a pediatric intensive care unit (PICU). METHODS: A cohort study involving children from birth to <5 years, submitted to intubation for more than 24 h in the PICU of an university hospital. In the first eight hours after extubation, a flexible fiberoptic laryngoscopy (FFL) was performed at the bedside. Those with moderate to severe abnormalities underwent a second examination seven to ten days later. RESULTS: 177 patients were included, with a median age of 2.46 months. The mean intubation time was 8.19 days. Seventy-three (41.2%) patients had moderate or severe alterations at the FFL, with the remaining showing only minor alterations or normal results. During follow-up, 16 children from the group with moderate to severe lesions developed subglottic stenosis. One patient from the normal FFL group had subglottic stenosis, resulting in an incidence of 9.6% of chronic lesions. CONCLUSION: Most children in the study developed mild acute laryngeal lesions caused by endotracheal intubation, which improved in a few days after extubation.

Bibliographic Details

Main Authors:	Lima,Eliandra da Silveira de, Oliveira,Maíra Alves Braga de, Barone,Carolina Rocha, Dias,Kharina Mayara Moreira, Rossi,Samanta Daiana de, Schweiger,Claudia, Manica,Denise, Enéas,Larissa Valency, Netto,Catia de Souza Saleh, Kuhl,Gabriel, Carvalho,Paulo Roberto Antonacci, Marostica,Paulo Jose Cauduro
Format:	Digital revista
Language:	English
Published:	Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial. 2016
Online Access:	http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-86942016000500507
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