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VOLUME 19 , ISSUE 3 ( 2015 ) > List of Articles

BRIEF COMMUNICATION

Laryngeal air column width ratio in predicting post extubation stridor

Dnyaneshwar P. Mutkule, Pradeep M. Venkategowda, Kranthi Mahendrakar, Chetan G. Shirodkar, H. Yogesh

Keywords : Air column width, cricothyroid membrane, cuff leak test, postextubation stridor, ultrasound

Citation Information : Mutkule DP, Venkategowda PM, Mahendrakar K, Shirodkar CG, Yogesh H. Laryngeal air column width ratio in predicting post extubation stridor. Indian J Crit Care Med 2015; 19 (3):170-173.

DOI: 10.4103/0972-5229.152763

License: CC BY-ND 3.0

Published Online: 00-03-2015

Copyright Statement:  Copyright © 2015; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim: Correlation of upper air column width ratio in postextubation stridor patients. Materials and Methods: A prospective observational study was conducted in a tertiary hospital between January and December 2013. Patients who were admitted in Intensive Care Unit and intubated for >24 h were included (72 patients). The upper airway air column width ratio (air column width before extubation/air column width after intubation) was calculated and compared in patient with or without postextubation stridor. Results: The incidence of stridor was 6.9% (5/72). The duration of mechanical ventilation was 5.60 ± 1.14 days and 3.91 ± 1.45 days in stridor and nonstridor group respectively. In all 5 patients who had stridor, the upper airway air column width ratio was 0.8 or less. Conclusion: Air column width ratio of 0.8 or less may be helpful in predicting postextubation stridor, which should be confirmed by large observational studies.


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