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Corticosteroids to prevent postextubation upper airway obstruction: the evidence mounts

Authors
  • Epstein, Scott K1
  • 1 Tufts University School of Medicine Tufts-New England Medical Center Harrison Avenue, Pulmonary Critical Care and Sleep Medicine Division, Boston, Massachusetts, 02111, USA , Boston
Type
Published Article
Journal
Critical Care
Publisher
Springer Science and Business Media LLC
Publication Date
Aug 14, 2007
Volume
11
Issue
4
Identifiers
DOI: 10.1186/cc5976
Source
Springer Nature
Keywords
License
Yellow

Abstract

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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