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correspondence

Indian Pediatr 2013;50: 522

Wire-aided Reintubation following Rigid Bronchoscopy: A Safe Technique?


D Bhat and H Singh

Department of Pediatrics, Dayanand Medical College and Hospital, Ludhiana, Punjab, India.
Email: [email protected]
 



We read with interest the case report on wire-aided reintubation following rigid bronchoscopy: a safe technique [1]. Although it is an innovative technique but not necessarily safe one, especially in neonates.Isolated experience doesn’t make it safe in all the hands.Secondly, it was totally wrong and unnesessary on behalf of authors to mention that multiple traumatic attempts were done by a senior pediatrician to intubate the baby.Thirdly, authors also mention failure of steroid administration at the referring hospital but actually there was no need for giving iv steroids as child was still intubated. Only when extubation is planned, should steroids be used [2].

References

1. Pujari VS, Shivana S, Bevinaguddaiah Y. Wire –aided reintubation following rigid bronchoscopy:a safe technique. Indian Pediatr. 2012;49:983-5.

2. Markovitz BP, Randolph AG, Khemani RG. Corticosteroids for the prevention and treatment of post extubation stridor in neonates, children and adults. Cochrane Database Syst Rev.2008;16:CD001000.

 

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