[Application of systemic glucocorticoids in preventing upper airway obstruction after extubation in children]

Zhonghua Er Ke Za Zhi. 2023 Dec 2;61(12):1136-1139. doi: 10.3760/cma.j.cn112140-20230814-00103.
[Article in Chinese]

Abstract

上气道梗阻(UAO)是儿童气管插管拔管失败常见原因之一。糖皮质激素(GC)能减轻气道损伤所致的炎性水肿,可能有助于预防拔管后UAO,但其疗效仍存在争议。虽然有相关指南、共识建议存在拔管失败风险的高危患儿预防性应用全身性GC,但国内外尚无统一的用药方案。本文就全身性GC预防儿童气管插管拔管后UAO的临床研究进行综述,以期为临床治疗提供参考。.

MeSH terms

  • Airway Extubation
  • Airway Obstruction* / etiology
  • Airway Obstruction* / prevention & control
  • Child
  • Glucocorticoids* / therapeutic use
  • Humans
  • Intubation, Intratracheal / adverse effects

Substances

  • Glucocorticoids