%0 Journal Article
%T Post-extubation stridor in children: A case report and review of the literature
%A D den Hollander
%A D Muckart
%J Southern African Journal of Critical Care
%D 2009
%I 
%X We describe a case of post-extubation stridor in a 3-year-old child who had suffered multiple trauma. Postextubation stridor is a not uncommon sequel of intubation in children. We review the literature on this complication and give recommendations on its prevention, prediction and management. Unplanned extubations, high ¡®cuff¡¯ pressures and movement of the tube in the trachea are the important risk factors. Although the ¡®cuff-leak test¡¯ has been proposed to predict post-extubation stridor, this test is unreliable in the younger child. Management has been by racemic adrenaline and steroids, but evidence to support this practice is lacking.
%U http://www.ajol.info/index.php/sajcc/article/view/52972