Pediatric anesthesia & critical care
The effect of continuous positive airway pressure (CPAP) application on airway problems in pediatric patients with subglottic stenosis who undergo balloon dilatation
Primary result · Mean recovery timeResult — go to the resultMean difference - 3.3 min 95% CI - 5.16 to - 1.44Authors' conclusion
Prophylactic CPAP application following therapeutic balloon dilatation in pediatric patients who have developed subglottic stenosis due to acquired or congenital causes appears to effectively shorten recovery time and may have a role in decreasing postoperative pulmonary complications
Study context
- Population
- Children aged 0 to 12 years with subglottic stenosis undergoing elective balloon dilatation under GA81 analysed
- Participants
- 84 children
- Comparison
- Prophylactic CPAP vs no CPAP after balloon dilatation
- CPAPn = 40
- non-CPAPn = 41reference
- Primary endpoint
- Duration of recovery time
Methodological detailsprospective, double-blinded, parallel-group, single-centre, Retrospectively registered
- Prospective
- Double-blinded
- Parallel-group
- Single-centre
- Retrospectively registered
Primary result
Mean recovery time
Mean difference
- 3.3 min
95% CI - 5.16 to - 1.44
P = 0.0007
As reported in the abstract
Secondary outcomes
- Lower odds of bronchospasm, tracheal secretion, need for intensive care and tracheostomy, but higher odds of intubation, with CPAP vs controls; not statistically significant
Original publication
The effect of continuous positive airway pressure (CPAP) application on airway problems in pediatric patients with subglottic stenosis who undergo balloon dilatation. Perioper Med (Lond). Published 23 January 2025. doi:10. 1186/ s13741-024-00478-5
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