Post-extubation stridor in intensive care unit patients: Risk factors evaluation and importance of the cuff-leak test

Intensive Care Medicine

Volumn 29, Issue 1, 2003, Pages 69-74

  Jaber, Samir ^a   Chanques, Gérald ^a   Matecki, Stefan ^b   Ramonatxo, Michèle ^b   Vergne, Christine ^b   Souche, Bruno ^a   Perrigault, Pierre François ^a   Eledjam, Jean Jacques ^a  

^a HÔPITAL SAINT ELOI   (France)

^b MONTPELLIER UNIVERSITY HOSPITAL   (France)

Author keywords

Airway obstruction; Cuff leak test; Extubation failure; Helium oxygen; Laryngeal edema; Post extubation stridor; Unplanned extubation

Indexed keywords

HELIUM; OXYGEN;

ADULT; AGED; AIRWAY OBSTRUCTION; ARTICLE; CONTROLLED STUDY; CUFF LEAK TEST; DIAGNOSTIC ACCURACY; DIAGNOSTIC TEST; ENDOTRACHEAL CUFF; EXTUBATION; FEMALE; HIGH RISK PATIENT; HOSPITAL ADMISSION; HUMAN; INCIDENCE; INTENSIVE CARE UNIT; LARYNX EDEMA; MAJOR CLINICAL STUDY; MALE; RISK FACTOR; SCORING SYSTEM; STRIDOR; TREATMENT FAILURE; UNIVERSITY HOSPITAL;

EID: 0037277740     PISSN: 03424642     EISSN: None     Source Type: Journal    
DOI: 10.1007/s00134-002-1563-4     Document Type: Article

References (15)

1. Epstein SK, Ciubotaru RL (1998) Independent effects of etiology of failure and time to reintubation on outcome for patients failing extubation. Am J Respir Crit Care Med 158:489-493
2. Darmon JY, Rauss A, Dreyfuss D, Bleichner G, Elkharrat D, Schlemmer B, Tenaillon A, Brun-Buisson C, Huet Y (1992) Evaluation of risk factors for laryngeal edema after tracheal extubation in adults and its prevention by dexamethasone. A placebo-controlled, double-blind, multicenter study. Anesthesiology 77:245-251
3. Ho LI, Harn HJ, Lien TC, Hu PY, Wang JH (1996) Postextubation laryngeal edema in adults. Risk factor evaluation and prevention by hydrocortisone. Intensive Care Med 22:933-936
4. Anene O, Meert KL, Uy H, Simpson P, Sarnaik AP (1996) Dexamethasone for the prevention of postextubation airway obstruction: a prospective, randomized, double-blind, placebo-controlled trial. Crit Care Med 24:1966-1969
5. Fisher MMcD, Raper RF (1992) The 'cuff-leak' test for extubation. Anaesthesia 47:10-12
6. Miller RL, Cole RP (1996) Association between reduced cuff leak volume and postextubation stridor. Chest 110:1035-1040
7. Engoren M (1999) Evaluation of the cuff-leak test in a cardiac surgery population. Chest 116:1029-1031
8. Sandhu RS, Pasquale MD, Miller K, Wasser TE (2000) Measurement of endotracheal tube cuff leak to predict postextubation stridor and need for reintubation. J Am Coll Surg 190:682-687
9. Le Gall JR, Lemeshow S, Saulnier F (1993) A new simplified acute physiology score (SAPS II) based on a European/North American multicenter study. JAMA 270:2957-2963
10. Jaber S, Chanques G, Matecki S, Pouzeratte Y, Perrigault P, Escuret E, Souche B, Colson P (2001) Pression du ballonnet de la sonde d'intubation: un monitorage indispensable! (abstract). Réanim Urgences 9:124
11. Zweig M, Campbell G (1993) Receiver-operating characteristic plots: a fundamental evaluation tool in clinical medicine. Clin Chem 39:561-577
12. Stauffer JL, Olson DE, Petty TLE (1981) Complications and consequences of endotracheal intubation and tracheotomy. A prospective study of 150 critically ill adult patients. Am J Med 70:65-76
13. Kastanos N, Estopa Miro R, Marin Perez A (1983) Laryngotracheal injury due to endotracheal intubation: incidence, evolution and predisposing factors: a prospective long-term study. Crit Care Med 11:362-367
14. Pettignano R, Holloway SE, Hyman D, LaBuz M (2000) Is the leak test reproducible? South Med J 93:683-685
15. Jaber S, Carlucci A, Boussarsar M, Fodil R, Pigeot J, Maggiore S, Harf A, Isabey D, Brochard L (2001) Helium-oxygen breathing in post-extubation decreases inspiratory effort. Am J Respir Crit Care Med 164:633-637