Early Intervention for the Treatment of Acute Laryngeal Injury After Intubation
jamanetwork.comThis study suggests that early intervention for patients with postintubation laryngeal injury was associated with a decreased duration of tracheostomy dependence, a higher rate of decannulation, and fewer surgical procedures compared with late intervention.
Patients who underwent early intervention also avoided open reconstruction. These findings may bear relevance to the management of patients requiring extended durations of endotracheal intubation during recovery for critical illness related to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection.
The 2 groups had similar demographic characteristics and a similar burden of comorbid disease. Ten patients who received early intervention were compared with 19 patients who received late intervention.
This retrospective cohort study involved 29 patients with laryngeal injury resulting from endotracheal intubation who were evaluated at a tertiary care center between May 1, 2014, and June 1, 2018.