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Postintubation croup in children.

B V Koka, I S Jeon, J M Andre

    Anesthesia and Analgesia
    |July 1, 1977
    PubMed
    Summary
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    Postintubation laryngeal edema occurred in 1% of children, most frequently in those aged 1-4 years. Excessive endotracheal tube size was a primary factor, alongside other laryngeal trauma indicators.

    Area of Science:

    • Pediatric Critical Care
    • Otolaryngology
    • Anesthesiology

    Background:

    • Postintubation laryngeal edema is a potential complication following endotracheal intubation in children.
    • Understanding incidence and risk factors is crucial for preventing airway compromise.

    Purpose of the Study:

    • To determine the incidence of postintubation laryngeal edema in a large pediatric cohort.
    • To identify key contributory factors associated with its development.

    Main Methods:

    • Prospective study design involving 7875 children under 17 years of age.
    • Data collection focused on intubation details and subsequent laryngeal edema development.

    Main Results:

    • Overall incidence of postintubation laryngeal edema was 1%.

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  • Children aged 1-4 years exhibited the highest susceptibility.
  • Oversized endotracheal tubes were implicated in 50% of cases; other laryngeal trauma factors correlated significantly with edema incidence.

    • Conclusions:

    • Postintubation laryngeal edema is relatively uncommon but significant in pediatric patients.
    • Careful selection of endotracheal tube size and minimizing laryngeal trauma are critical for prevention.