Does prophylactic use of dexamethasone have a role in reducing post extubation stridor and reintubation in children?
Document Type
Article
Department
Emergency Medicine; Paediatrics and Child Health
Abstract
All children aged from 4 weeks toyear, were intubated for at least 48 hours [n=51] during 6 months. Data of the patients treated with DEX (0.5 ml/kg every 6 hours for 3 doses, beginning 6-12 hours prior to extubation) (n=30) were compared with control patients (who had not received medication) (n=21). The DEX and control groups were similar in age i.e., mean ages of DEX group were 16.85+/-14 months, and that of control group were 19.02 +/- 19 months, mean duration of intubation and mechanical ventilation in DEX group was 5.17 +/- 4.58 days, and that in control group was 3.98 +/- 3.60 days. There was no significant difference between DEX and control group in the incidence of postextubation stridor [17% (5/30) vs. 10% (2/21); p = 0.5] and the reintubation rate [7% (2/30) vs. 10% (2/21); p = 0.7]. Our data revealed that the prophylactic use of dexamethasone in planned extubation of high risk children were not effective.
Publication (Name of Journal)
The Indian Journal of Pediatrics
DOI
10.1007/s12098-009-0067-4
Recommended Citation
Saleem, A. F.,
Bano, S.,
Haque, A.
(2009). Does prophylactic use of dexamethasone have a role in reducing post extubation stridor and reintubation in children?. The Indian Journal of Pediatrics, 76(5), 555-557.
Available at:
https://ecommons.aku.edu/pakistan_fhs_mc_emerg_med/175