Yonsei Med J.  1995 Feb;36(1):53-57. 10.3349/ymj.1995.36.1.53.

Incidence and predictors of postextubation laryngeal edema in pediatric patients with congenital heart disease

• Koh SO
• Bang SO
• Hong YW
• Cho HW
• Cho BK

• KMID: 1729616
• DOI: http://doi.org/10.3349/ymj.1995.36.1.53

Abstract

Laryngeal edema developed in 10.1% of studied patients with congenital heart disease after cardiac surgery. The 181 patients were divided into two groups; those with laryngeal edema (group 1) and those without laryngeal edema (group 2). The mean ages in group 1 and 2 were 10 and 22.9 months. Group 1 patients were younger on average than those of group 2 (p< 0.05). The differences in the cardiopulmonary bypass time and anesthesia time between the two groups were not statistically significant. The duration of intubations and ventilatory support before and after the onset of laryngeal edema and the period of the ICU stay were longer in group 1 than in group 2 (p< 0.05). A predictor of postextubation laryngeal edema was not found in our patients from above mentioned parameters. We conclude that the higher incidence of laryngeal edema may be due to young age (most were under 1 year of age), and duration of intubation and ventilatory support.

Keyword

Postextubation larungeal edema; child; congenital heart disease; cardiac surgery

MeSH Terms

Adolescent
Child
Child, Preschool
Heart Defects, Congenital/*surgery
Human
Incidence
Infant
Infant, Newborn
Intubation, Intratracheal/*adverse effects
Laryngeal Edema/epidemiology/*etiology
Postoperative Care
Postoperative Complications
Risk Factors