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

“Post intubation Laryngeal injuries in a pediatric intensive care unit of tertiary hospital in India: A Fibreoptic endoscopic study”

“…[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.…”

“…[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.…”

“…[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.…”

“…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.…”

Non-invasive ventilation with balloon dilatation of severe subglottic stenosis in a 10-month infant

“…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.…”