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Post-extubation Airway Obstruction in Children: Are Steroids the Key to Prevention?
  • Kaitlin Verdone,
  • Christopher Watson
Kaitlin Verdone
Medical College of Georgia
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Christopher Watson
Medical College of Georgia
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Abstract

Reintubation in the pediatric intensive care unit (PICU) increases morbidity, mortality, and the overall cost of care. Post-extubation airway obstruction (PEAO) is a potentially predictable cause of extubation failure and may be prevented by the use of corticosteroids. Defining which patients are most at risk for the development of POAE as well as the optimal dose and timing of corticosteroids for prevention is critical. We review the current literature regarding the use of corticosteroids surrounding extubation in the PICU and discuss the implications that a clear algorithm for identification and treatment of these patients would have in the care of critically ill children.

Peer review status:ACCEPTED

19 Apr 2021Submitted to Pediatric Pulmonology
19 Apr 2021Assigned to Editor
19 Apr 2021Submission Checks Completed
02 May 2021Reviewer(s) Assigned
09 May 2021Review(s) Completed, Editorial Evaluation Pending
10 May 2021Editorial Decision: Accept