post-extubation laryngeal edema
Conditions
Interventions
Laryngeal fiberoptic examination will be performed at the time of extubation. Two physicians will independently assess the pre-extubation laryngeal fiberoptic images using recorded videos that have be
Sponsors
Hyogo Prefectural Amagasaki General Medical Center
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Oral or nasal endotracheal intubation (either is acceptable). 2. Aged 18 years or younger. 3. Use of a cuffed endotracheal tube. 4. Written informed consent has been obtained from the patient and/or a legally authorized representative (the patient's parent/guardian). 5. Extubation is planned between 08:30 and 17:00. (To ensure assessment quality, the procedure will be performed only during daytime hours so that multiple staff members can attend.) 6. The department conference has determined that performing laryngeal fiberoptic examination is appropriate.
Exclusion criteria
Exclusion criteria: 1. Unplanned extubation (because the examination cannot be performed). 2. The examination is judged to carry a high risk due to underlying conditions or other clinical factors (including situations in which transnasal insertion is difficult, such as after head and neck surgery). 3. History of allergy to local anesthetics.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Presence of post-extubation stridor (PES) within 60 minutes after extubation | — |
Secondary
| Measure | Time frame |
|---|---|
| National Paediatric Early Warning System (NPEWS) score within 60 minutes after extubation Presence of chest retractions within 60 minutes after extubation Administration of systemic corticosteroids within 60 minutes after extubation Use of high-flow nasal cannula (HFNC) within 24 hours after extubation Use of noninvasive ventilation (NIV) within 24 hours after extubation Reintubation within 24 hours after extubation Procedure-related complications (e.g., nasal bleeding, oral bleeding) | — |
Countries
Japan
Contacts
Public ContactKoji Kanno
Hyogo Prefectural Amagasaki General Medical Center Department of Pediatric Emergency and Critical Care Medicine
Outcome results
None listed