Book Chapter10.1016/B978-0-12-804075-1.00026-2
Chapter 26 – Stridor
Prasanna Udupi Bidkar,Hemanshu Prabhakar +1 more
- 01 Jan 2016
pp 237-246
2
TL;DR: This chapter discusses the various causes of stridor, a high-pitched sound produced by turbulent flow of air through a narrowed segment of the respiratory tract that denotes the underlying airway obstruction with potential/imminent life-threatening obstruction of the airway.
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Abstract: Stridor is a manifestation of a partially obstructed airway. The resulting turbulent flow produces harsh, vibratory sounds. Hence, stridor can be defined as “a high-pitched sound produced by turbulent flow of air through a narrowed segment of the respiratory tract.” It denotes the underlying airway obstruction with potential/imminent life-threatening obstruction of the airway. Due to a narrower diameter of the airway, children are more susceptible to partial airway obstruction, thus producing stridor. This chapter discusses the various causes of stridor.
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TL;DR: Prophylactic administration of steroids in multidose regimens before planned Extubation reduces the incidence of laryngeal oedema after extubation and the consequent reintubation rate in adults, with few adverse events.
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Predictors of postextubation stridor in pediatric trauma patients.
TL;DR: In pediatric trauma patients, mechanism of injury (facial burn vs. other) and absence of an airleak at the time of extubation are the strongest factors predicting postextubation stridor.
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Upper Airway Obstruction in Children
TL;DR: Maintaining an open and stable airway is of the utmost importance, often requiring a team approach of emergency physician, pediatrician, otorhinolaryngologist and pediatric pulmonologist.
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