Flexible fiber-optic laryngoscopy in the first hours after extubation for the evaluation of laryngeal lesions due to intubation in the pediatric intensive care unit
“…[16] Smith et al, in a study on pediatric population (0-4 years), reported that 93% of the children had some degree of laryngeal injury, of which 51% was mild. [15] In our study, 97% had laryngeal injury, 15% being mild. Edema and erythema were the most common finding in laryngoscopy done immediate postextubation.…”
Section: Discussionsupporting
confidence: 44%
“…[14] Smith et al, in a study on 41 children in a PICU, noted that flexible laryngoscopy can be performed safely with a few minor complications. [15] They also concluded that laryngoscopy can be done easily with good visualization of all regions of the larynx, including subglottis. Also, the procedure can be done under local anesthesia.…”
Section: Discussionmentioning
confidence: 98%
“…[15,16] Pereira et al, retrospectively evaluated all patients who were intubated, irrespective of the duration of intubation. [17] In our study, we included patients who were intubated for at least 48 hours.…”
Section: Discussionmentioning
confidence: 99%
“…Colton et al, studied the patients within 24 hours of extubation. [16] Laryngeal evaluation was done within 8 hours of extubation by Smith et al [15] We examined the children within 24 hours of extubation, as all the acute injuries could be safely visualized within 24 hours.…”
“…[16] Smith et al, in a study on pediatric population (0-4 years), reported that 93% of the children had some degree of laryngeal injury, of which 51% was mild. [15] In our study, 97% had laryngeal injury, 15% being mild. Edema and erythema were the most common finding in laryngoscopy done immediate postextubation.…”
Section: Discussionsupporting
confidence: 44%
“…[14] Smith et al, in a study on 41 children in a PICU, noted that flexible laryngoscopy can be performed safely with a few minor complications. [15] They also concluded that laryngoscopy can be done easily with good visualization of all regions of the larynx, including subglottis. Also, the procedure can be done under local anesthesia.…”
Section: Discussionmentioning
confidence: 98%
“…[15,16] Pereira et al, retrospectively evaluated all patients who were intubated, irrespective of the duration of intubation. [17] In our study, we included patients who were intubated for at least 48 hours.…”
Section: Discussionmentioning
confidence: 99%
“…Colton et al, studied the patients within 24 hours of extubation. [16] Laryngeal evaluation was done within 8 hours of extubation by Smith et al [15] We examined the children within 24 hours of extubation, as all the acute injuries could be safely visualized within 24 hours.…”
“…Fiber optic laryngoscopy (FOL) was decided upon, revealing a Myer-Cotton I subglottic stenosis (SGSI) (Fig. 1) [1]. The patient was once again extubated, and treatment consisting of non-invasive mask pressure support ventilation (NIV), corticosteroids and vasoconstrictors aerosol, endovenous corticosteroids and respiratory physiokinesis was initiated.…”
In an appropriate patient, FFLT is a safe and effective diagnostic tool for common infant tracheal and laryngeal abnormalities. Detection and characterization of dynamic airway lesions is better achieved by FFLT than by MLB.
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