Katherine E Kruse1, Prashant J Purohit, C Ross Cadman, Felice Su, Nima Aghaeepour, Gregory B Hammer. 1. 1Division of Critical Care, Department of Pediatrics, Stanford University School of Medicine, Stanford, CA. 2Division of Critical Care, Department of Pediatrics, Kapiolani Medical Center for Women and Children, Honolulu, HI. 3Department of Anesthesiology, Perioperative and Pain, Stanford University School of Medicine, Stanford, CA. 4Rutgers Robert Wood Johnson Medical School, Piscataway Township, NJ.
Abstract
OBJECTIVES: To determine the 1) incidence of subglottic stenosis in infants and children following cardiac surgery with cardiopulmonary bypass and 2) risk factors associated with its development. DESIGN: Retrospective cohort study. SETTING: Tertiary children's hospital in California. PATIENTS: Infants and children who underwent cardiac surgery with cardiopulmonary bypass. INTERVENTIONS: Diagnosis of subglottic stenosis by tracheoscopy. MEASUREMENTS AND MAIN RESULTS: The incidence of subglottic stenosis at our institution during the study period was 0.7%. Young age (p = 0.014), prolonged cardiopulmonary bypass (p = 0.03), and prolonged mechanical ventilation (p < 0.01) were associated with the development of subglottic stenosis. Gender, chromosomal anomaly, presence of a cuffed endotracheal tube, and lowest core temperature during cardiopulmonary bypass were not associated with the development of subglottic stenosis. CONCLUSIONS: The incidence of subglottic stenosis was less than that previously reported in this population. Although the incidence is relatively low, subglottic stenosis is a serious complication of tracheal intubation and all measures to prevent subglottic stenosis should be undertaken.
OBJECTIVES: To determine the 1) incidence of subglottic stenosis in infants and children following cardiac surgery with cardiopulmonary bypass and 2) risk factors associated with its development. DESIGN: Retrospective cohort study. SETTING: Tertiary children's hospital in California. PATIENTS: Infants and children who underwent cardiac surgery with cardiopulmonary bypass. INTERVENTIONS: Diagnosis of subglottic stenosis by tracheoscopy. MEASUREMENTS AND MAIN RESULTS: The incidence of subglottic stenosis at our institution during the study period was 0.7%. Young age (p = 0.014), prolonged cardiopulmonary bypass (p = 0.03), and prolonged mechanical ventilation (p < 0.01) were associated with the development of subglottic stenosis. Gender, chromosomal anomaly, presence of a cuffed endotracheal tube, and lowest core temperature during cardiopulmonary bypass were not associated with the development of subglottic stenosis. CONCLUSIONS: The incidence of subglottic stenosis was less than that previously reported in this population. Although the incidence is relatively low, subglottic stenosis is a serious complication of tracheal intubation and all measures to prevent subglottic stenosis should be undertaken.
Authors: Katharina Bibl; Lena Pracher; Erik Küng; Michael Wagner; Imme Roesner; Angelika Berger; Michael Hermon; Tobias Werther Journal: Front Pediatr Date: 2022-05-11 Impact factor: 3.569
Authors: Alejandra Vilanova-Sánchez; Carlos Albert Reck; Richard J Wood; Cristina Garcia Mauriño; Alessandra C Gasior; Robert E Dyckes; Katherine McCracken; Laura Weaver; Devin R Halleran; Karen Diefenbach; Dennis Minzler; Rebecca M Rentea; Christina B Ching; Venkata Rama Jayanthi; Molly Fuchs; Daniel Dajusta; Geri D Hewitt; Marc A Levitt Journal: Front Surg Date: 2018-11-19