Corticosteroids to prevent postextubation upper airway obstruction: the evidence mounts

被引:13
作者
Epstein, Scott K.
机构
[1] Tufts Univ, Sch Med Pulm Crit Care, Boston, MA 02111 USA
[2] Tufts Univ New England Med Ctr, Sleep Med Div, Boston, MA 02111 USA
来源
CRITICAL CARE | 2007年 / 11卷 / 04期
关键词
D O I
10.1186/cc5976
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Intubation of the airway can lead to laryngotracheal injury, resulting in extubation failure from upper airway obstruction (UAO). A number of factors can help to identify patients who are at greatest risk for postextubation UAO. Three randomized controlled trials demonstrate that prophylactic corticosteroids decrease the risk for postextubation UAO and probably the need for re-intubation.
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