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Prolonged nasotracheal intubation or tracheostomy in acute laryngotrcheobronchitis and epiglottitis?
Author(s) -
SHANN F.A.,
PHELAN P.D.,
STOCKS J.G.,
BENNETT N. McK.
Publication year - 1975
Publication title -
journal of paediatrics and child health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.631
H-Index - 76
eISSN - 1440-1754
pISSN - 1034-4810
DOI - 10.1111/j.1440-1754.1975.tb02321.x
Subject(s) - medicine , nasotracheal intubation , intubation , epiglottitis , anesthesia , surgery , airway obstruction , airway
In experienced hands, prolonged nasotracheal intubation with polyvinyl chloride tubes is a satisfactory alternative to tracheostomy in the management of acute upper airways obstruction from laryngotracheobronchitis and epiglottitis. Intubation is quicker, less traumatic, has a lower morbidity and the tube can be removed sooner. A tracheostomy tube has less chance of being accidentally dislodged or coughed out. The experience from 1969 to 1973 with nasotracheal intubation at the Royal Children's Hospital, and the experience with trachoestomy at the Fairfield Infectious Diseases Hospital are reviewed.