0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Mortality and Airway Obstruction

THOMAS J. POULTON, MD
Am J Dis Child. 1984;138(12):1156-1157. doi:10.1001/archpedi.1984.02140500060027.
Text Size: A A A
Published online

Sir.—Liston et al alerted physicians caring for children that bacterial tracheitis may be an important cause of acute, infectious upper-airway obstruction.1 Some conclusions drawn by the authors were not supported by their data.

The report included the following statements.

  1. Pneumothorax occurred in two of nine children with bacterial tracheitis who received tracheostomies. A third child died when the tracheostomy tube came out and could not be replaced.

  2. Two of five endotracheally intubated children had problems involving the suctioning of thick secretions, with the subsequent development of acute respiratory insufficiency because of mechanical obstruction of the endotracheal tube.

  3. Two of five endotracheally intubated children who had bacterial tracheitis suffered total airway obstruction at the time of extubation; one child died.

The authors recommended that elective tracheostomy be performed at the time of the diagnosis of bacterial tracheitis in children, in preference to performing an endotracheal intubation.

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();