Multiple Postintubation Complications

Tracheostomy in the Young Pediatric Burn Patient

“…There have been numerous studies reviewing the identified complications of endotracheal intubation and tracheostomy in the pediatric burn patient. [1][2][3][4][5][6][7][8][9][10][11][12] This reported incidence of short-and long-term airway complications associated with tracheostomy prompted this review of our experience with these difficult-to-manage patients admitted to our burn intensive care unit.…”

Wound‐healing modulation in upper airway stenosis—Myths and facts

“…When compared with controls, less stenosis was found (19% vs 90%) and the histologic picture showed less inflammation 18. Addition of antibiotics was supported by positive cultures from human subglottic granulations,19 and from an animal study, which demonstrated progressive perichondritis and chondritis in tracheotomized dogs with prior subglottic injury,20 suggesting that a bacterial infection played a role in the development of chondritis leading to subglottic stenosis. Steroids and antibiotics were assessed in another canine study, evaluating the gross and histologic appearance of the subglottic area 10 weeks after CO 2 laser dilatation, with and without stenting 21.…”

In reference to Endoscopic cold incision, balloon dilation, mitomycin C application, and steroid injection for adult laryngotracheal stenosis

“…Occasionally, these two disparate entities, tracheal versus subglottic stenosis, may occur synchronously in the same patient. [6][7][8] With advanced fiberoptic endoscopy and computerized imaging, we should be able to accurately determine the location and extent of the stenotic segment(s). In the continued search for the best guidelines in the diagnosis and management of this difficult clinical problem, there is a need for a new staging system of laryngeal and tracheal stenosis in adults.…”