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April 27, 1970

New Therapy for Postintubation Laryngeal Tracheitis in Children Edema and

Author Affiliations

From the Division of Anesthesiology, University of Utah College of Medicine (Drs. Jordan and Graves), and the Department of Anesthesiology, Primary Children's Hospital, Salt Lake City (Dr. Elwyn).

JAMA. 1970;212(4):585-588. doi:10.1001/jama.1970.03170170031005

In the postanesthetic period, laryngeal edema and tracheitis with obstructive croup-like symptoms occur in a certain percentage of children who undergo intubation for surgery. In a small portion of these children, despite the usual therapy with cool mist occasionally combined with corticosteroids, progression of the obstruction requires more active means of restoring the airway. With positive pressure assistance to ventilation while nebulizing racemic epinephrine, we have been able to relieve the obstruction in all children with this complication without recourse to reintubation or tracheotomy.