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Successful Extubation Using Heliox BiPAP in Two Patients with Postextubation Stridor
Pragya Punj1, Premkumar Nattanmai1, Pravin George2
1Department of Neurology, University of Missouri, 5 Hospital Drive, CE 540, Columbia, MO 65211, USA.
Case Reports in Pulmonology
|April 5, 2017
Summary
Postextubation stridor can cause serious illness and extubation failure. Heliox (helium and oxygen) delivered via BiPAP successfully treated two patients with stridor after standard therapies failed.
Area of Science:
- Critical Care Medicine
- Respiratory Therapy
Background:
- Postextubation stridor presents a significant clinical challenge, often leading to extubation failure.
- Established medical treatments like nebulized epinephrine and intravenous steroids may not always resolve stridor.
Observation:
- Two cases of postextubation stridor are presented.
- Patients received heliox (helium and oxygen) therapy.
- Heliox was delivered using bilevel positive airway pressure (BiPAP).
Findings:
- Heliox therapy, when combined with BiPAP, proved effective in managing postextubation stridor.
- This approach was successful even after the failure of conventional medical treatments.
Implications:
- Heliox delivered via BiPAP may represent a viable therapeutic option for refractory postextubation stridor.
- Further research is warranted to establish the role of heliox in managing airway obstruction postextubation.