Slideshow Transcript

1. Slide 1:Post Extubation Stridor Critical Care Grand Rounds April 7, 2008 Janice D Chisholm, BSc, MD, FRCPC
2. Slide 2:Post Extubation Stridor  Definition  Epidemiology  The Cuff Leak  Use of Steroids  Prophylaxis  Treatment  How do I use this info clinically?  Conclusions
3. Slide 3:Definition  the development of upper airway obstruction after extubation  Minor  Audible high pitched inspiratory wheeze with respiratory distress  Major  Severe respiratory distress needing tracheal reintubation secondary to upper airway obstruction
4. Slide 4: Prolonged intubation can lead to edema, inflammation, and ulceration  Level of cords and cuff site  At autopsy, 54% had ulcers on posterior cords and 93% had mucosal inflammation and/or edema
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