Danse-thérapie et Parkinson

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Tenuous Airway in Children With Trisomy 21

Identifieur interne : 000439 ( Main/Exploration ); précédent : 000438; suivant : 000440

Tenuous Airway in Children With Trisomy 21

Auteurs : Andrew L. De Jong ; Marcelle Sulek ; Michael Nihill ; Newton O. Duncan ; Ellen M. Friedman [États-Unis]

Source :

RBID : ISTEX:0B46AE6A37A8A498573D625E527B7276AB364233

Abstract

Multiple congenital anomalies are closely linked to Down syndrome(trisomy 21). Cardiac malformations are found in 40% of patients, a large number of whom will require a major surgical procedure. The importance of postextubation stridor in these children is frequently underestimated. A retrospective review of 99 trisomy 21 patients who underwent cardiovascular surgery revealed postextubation stridor in 24 (24.2%). Significant factors for the development of stridor included younger age (P=0.04), lower growth percentile for weight (P=0.03), and increased frequency of reintubation(P=0.04). Subglottic stenosis was found in 6 (6.1%). In 4 of these patients, an endotracheal tube of larger diameter than predicted for age was used. All 6 patients were less than the 10th percentile for weight. We conclude that Down syndrome patients deserve special considerations and modifications of standard intubation techniques for successful airway management.

Url:
DOI: 10.1097/00005537-199703000-00013


Affiliations:


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