Successful Extubation Using Heliox BiPAP in Two Patients with Postextubation Stridor

Postextubation stridor is associated with significant morbidity. It commonly results in extubation failure after established medical treatment fails, such as nebulized epinephrine and/or intravenous steroids. The role of heliox (i.e., combination of helium and oxygen) in managing patients with poste...

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Main Authors: Pragya Punj, Premkumar Nattanmai, Pravin George, Christopher R. Newey
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Pulmonology
Online Access:http://dx.doi.org/10.1155/2017/1253280
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author Pragya Punj
Premkumar Nattanmai
Pravin George
Christopher R. Newey
author_facet Pragya Punj
Premkumar Nattanmai
Pravin George
Christopher R. Newey
author_sort Pragya Punj
collection DOAJ
description Postextubation stridor is associated with significant morbidity. It commonly results in extubation failure after established medical treatment fails, such as nebulized epinephrine and/or intravenous steroids. The role of heliox (i.e., combination of helium and oxygen) in managing patients with postextubation stridor has not been fully established. We report two cases of postextubation stridor successfully treated with heliox delivered with bilevel positive airway pressure (BiPAP) after failure of standard medical therapy.
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institution Kabale University
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publisher Wiley
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series Case Reports in Pulmonology
spelling doaj-art-b4c7a0d71b544716a5bdee21e097d0072025-08-20T03:39:22ZengWileyCase Reports in Pulmonology2090-68462090-68542017-01-01201710.1155/2017/12532801253280Successful Extubation Using Heliox BiPAP in Two Patients with Postextubation StridorPragya Punj0Premkumar Nattanmai1Pravin George2Christopher R. Newey3Department of Neurology, University of Missouri, 5 Hospital Drive, CE 540, Columbia, MO 65211, USADepartment of Neurology, University of Missouri, 5 Hospital Drive, CE 540, Columbia, MO 65211, USACleveland Clinic, Cerebrovascular Center, Neurological Institute, 9500 Euclid Avenue, Cleveland, OH 44195-5245, USADepartment of Neurology, University of Missouri, 5 Hospital Drive, CE 540, Columbia, MO 65211, USAPostextubation stridor is associated with significant morbidity. It commonly results in extubation failure after established medical treatment fails, such as nebulized epinephrine and/or intravenous steroids. The role of heliox (i.e., combination of helium and oxygen) in managing patients with postextubation stridor has not been fully established. We report two cases of postextubation stridor successfully treated with heliox delivered with bilevel positive airway pressure (BiPAP) after failure of standard medical therapy.http://dx.doi.org/10.1155/2017/1253280
spellingShingle Pragya Punj
Premkumar Nattanmai
Pravin George
Christopher R. Newey
Successful Extubation Using Heliox BiPAP in Two Patients with Postextubation Stridor
Case Reports in Pulmonology
title Successful Extubation Using Heliox BiPAP in Two Patients with Postextubation Stridor
title_full Successful Extubation Using Heliox BiPAP in Two Patients with Postextubation Stridor
title_fullStr Successful Extubation Using Heliox BiPAP in Two Patients with Postextubation Stridor
title_full_unstemmed Successful Extubation Using Heliox BiPAP in Two Patients with Postextubation Stridor
title_short Successful Extubation Using Heliox BiPAP in Two Patients with Postextubation Stridor
title_sort successful extubation using heliox bipap in two patients with postextubation stridor
url http://dx.doi.org/10.1155/2017/1253280
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