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HIGH-FLOW NASAL CANNULA POST-TRACHEAL EXTUBATION IN A CHILD WITH UPPER AIRWAY OBSTRUCTION: CASE REPORT

José Colleti Junior1, Tâmara Eleamen Longui2, Werther Brunow de Carvalho3

  • 1Hospital Santa Catarina, São Paulo, Brasil.

Revista Paulista De Pediatria : Orgao Oficial Da Sociedade De Pediatria De Sao Paulo
|July 12, 2018
PubMed

Insights

High-flow nasal cannula (HFNC) use may prevent extubation failure in pediatric patients with acute laryngitis. This method successfully supported an infant after extubation, avoiding reintubation due to laryngeal edema.

Area of Science:

  • Pediatric Emergency Medicine
  • Critical Care
  • Otolaryngology

Background:

  • Acute laryngitis can cause severe airway obstruction in infants, necessitating tracheal intubation.
  • Extubation failure due to laryngeal edema is a significant concern in pediatric intensive care.

Observation:

  • An 8-month-old male infant with acute laryngitis required intubation for airway obstruction.
  • The infant experienced extubation failure due to significant laryngeal edema, confirmed by bronchoscopy.
  • Following a second extubation attempt with respiratory distress, high-flow nasal cannula (HFNC) was initiated.

Findings:

  • HFNC use led to stabilization, with reduced heart and respiratory rates.
  • Successful extubation was achieved after HFNC application.
  • HFNC demonstrated effectiveness in managing post-extubation respiratory distress in this case.

Implications:

  • HFNC may serve as a valuable adjuvant therapy to prevent reintubation in pediatric acute laryngitis.
  • Early consideration of HFNC could mitigate risks associated with extubation failure.
  • This case highlights the potential of non-invasive respiratory support in managing complex pediatric airway cases.
Abstract

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