Incidence and endoscopic characteristics of acute laryngeal lesions in children undergoing endotracheal intubation
- de Lima, Eliandra da Silveira
- de Oliveira, Maíra Alves Braga
- Barone, Carolina Rocha
- Dias, Kharina Mayara Moreira
- de Rossi, Samanta Daiana
- Schweiger, Claudia
- Manica, Denise
- Enéas, Larissa Valency
- Saleh Netto, Catia de Souza
- Kuhl, Gabriel
- Carvalho, Paulo Roberto Antonacci
- Marostica, Paulo Jose Cauduro
DOIAbstract
AbstractIntroductionAcute laryngeal lesions after intubation appear to be precursors of chronic lesions.ObjectiveTo describe the incidence and type of acute laryngeal lesions after extubation in a pediatric intensive care unit (PICU).MethodsA cohort study involving children from birth to <5 years, submitted to intubation for more than 24h in the PICU of an university hospital. In the first eight hours after extubation, a flexible fiberoptic laryngoscopy (FFL) was performed at the bedside. Those with moderate to severe abnormalities underwent a second examination seven to ten days later.Results177 patients were included, with a median age of 2.46 months. The mean intubation time was 8.19 days. Seventy-three (41.2%) patients had moderate or s...
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