기관 삽관 발거 실패 또는 심한 천명을 호소하는 호흡 곤란 소아 환자에 대한 상기도 평가 프로토콜

박준오; 박우리; 조정규; 조중범; 김진경; 정한신

추천

검색

자료유형: 학술저널

저자정보: 박준오 박우리 조정규 조중범 김진경 정한신

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제59권 제1호

발행연도: 2016.1

수록면: 35 - 40 (6page)

이용수

📌

연구주제

📖

연구배경

🔬

연구방법

🏆

연구결과

초록· 키워드

오류제보하기

Background and Objectives Adequate evaluation of the upper airway is critical in the management of pediatric patients with stridor or extubation failure. For this purpose, we designed an evaluation protocol of the upper airway for these patients, in collaboration with Dept. of Pediatrics, Intensive care team and Anesthesiology. Here we present the clinical results of our evaluation protocol and provide information about the etiology and management of the upper airway problems. Subjects and Method Clinical data of 380 pediatric patients (M:F=231:149) having airway evaluation for their problems (stridor or extubation failure) were retrospectively analyzed. Among them, patients of age less than 3 months ranked first (30.0%). Comorbidities of pulmonary diseases (30.8%) and cardiovascular diseases (29.5%) were found. The pre and post-evaluation diagnosis, management and prognosis were evaluated and the usefulness of an airway evaluation protocol was discussed. Results Frequent pre-evaluation diagnoses were subglottic stenosis (55.2%), laryngomalacia (12.6%) and tracheal stenosis (9.2%) and these were changed to subglottic stenosis (44.5%), laryngomalacia (9.7%), tracheal stenosis (6.6%) and no abnormality (14.5%). Particularly, 50% of pre-diagnosis laryngomalacia, 25% of subglottic stenosis and 37% of tracheal stenosis were corrected to other causes by airway evaluation. The procedures were exam only (41.6%), endoscopic dilatation (20.8%) and tracheostomy (17.9%). In 190 out of 380 (50.0%), extubation was successful, but 151 patients (39.7%) had tracheostomy tube. Conclusion Adequate evaluation of the upper airway in pediatric patients with stridor or extubation failure can facilitate the diagnosis and management of their problems. Korean J Otorhinolaryngol-Head Neck Surg 2016;59(1):35-40

#Evaluation ㆍExtubation failure ㆍPediatrics ㆍStridor ㆍUpper airway.

참고문헌 (32)

참고문헌 신청

Zoumalan R / 2007 / Etiology of stridor in infants / Ann Otol Rhinol Laryngol 116(5):329~334

Zalzal GH / 1994 / Pediatric stridor and airway compromise / J Med Liban 42(4):221~226

Yee-Hang WB / 2012 / Stridor in asian infants: assessment and treatment / ISRN Otolaryngol 2012:915910

Friedberg J / 1987 / An approach to stridor in infants and children / J Otolaryngol 16(4):203~206

Levitan R / 2000 / Airway management and direct laryngoscopy. A review and update / Crit Care Clin 16(3):373~388

함께 읽어보면 좋을 논문

논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!