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Related Experiment Videos

Prolonged intubation of neonates.

S K Dankle, D E Schuller, R E McClead

    Archives of Otolaryngology--Head & Neck Surgery
    |August 1, 1987
    PubMed
    Summary

    Neonatal intubation is generally safe for airway management in infants, even with prolonged use. This study found a low incidence of subglottic stenosis in surviving neonates requiring intubation.

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    Area of Science:

    • Neonatal Medicine
    • Pediatric Critical Care
    • Otolaryngology

    Background:

    • Modern medicine enables survival of premature infants with low birth weights.
    • Prolonged endotracheal intubation raises concerns about subglottic stenosis development.
    • Subglottic stenosis is a potential complication of neonatal airway management.

    Purpose of the Study:

    • To assess the safety of neonatal intubation.
    • To evaluate the incidence of subglottic stenosis following intubation in neonates.
    • To determine if prolonged intubation increases stenosis risk.

    Main Methods:

    • Retrospective analysis of neonates requiring intubation.
    • Data collected from Columbus Children's Hospital (1977-1980).
    • Focus on surviving neonates and development of subglottic stenosis.

    Main Results:

    • 343 surviving neonates were analyzed.
    • Five neonates (1.5%) developed clinically significant subglottic stenosis.
    • The incidence of subglottic stenosis was low.

    Conclusions:

    • Endotracheal intubation is a safe airway management technique for neonates.
    • Neonatal intubation can be used safely for extended periods.
    • The risk of subglottic stenosis appears manageable.

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