stridor

Stridor
  • 文章类型: Journal Article
    目的:为小儿先天性气管狭窄的诊断和治疗提供专家共识。
    方法:通过使用迭代德尔菲法完成18项调查并回顾文献,征求了国际小儿耳鼻喉科小组(IPOG)成员的专家意见。
    结果:43名成员完成了调查,提供了有关初始历史的建议,临床评估,诊断评估,临时措施,最终修复,先天性气管狭窄患儿的修复后护理。
    结论:这些建议旨在用于支持有关先天性气管狭窄患儿的评估和管理的临床决策。回应强调了多样化的管理策略以及多学科方法对这些患者的护理的重要性。
    OBJECTIVE: To outline an expert-based consensus of recommendations for the diagnosis and management of pediatric patients with congenital tracheal stenosis.
    METHODS: Expert opinions were sought from members of the International Pediatric Otolaryngology Group (IPOG) via completion of an 18-item survey utilizing an iterative Delphi method and review of the literature.
    RESULTS: Forty-three members completed the survey providing recommendations regarding the initial history, clinical evaluation, diagnostic evaluation, temporizing measures, definitive repair, and post-repair care of children with congenital tracheal stenosis.
    CONCLUSIONS: These recommendations are intended to be used to support clinical decision-making regarding the evaluation and management of children with congenital tracheal stenosis. Responses highlight the diverse management strategies and the importance of a multidisciplinary approach to care of these patients.
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  • 文章类型: Journal Article
    OBJECTIVE: To provide recommendations for the comprehensive management of young infants who present with signs or symptoms concerning for laryngomalacia.
    METHODS: Expert opinion by the members of the International Pediatric Otolaryngology Group (IPOG).
    RESULTS: Consensus recommendations include initial care and triage recommendations for health care providers who commonly evaluate young infants with noisy breathing. The consensus statement also provides comprehensive care recommendations for otolaryngologists who manage young infants with laryngomalacia including: evaluation and treatment considerations for commonly debated issues in laryngomalacia, initial work-up of infants presenting with inspiratory stridor, treatment recommendations based on disease severity, management of the infant with feeding difficulties, post-surgical treatment management recommendations, and suggestions for acid suppression therapy.
    CONCLUSIONS: Laryngomalacia care consensus recommendations are aimed at improving patient-centered care in infants with laryngomalacia.
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