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Canadian Journal of Anesthesia, Vol 26, 206-212, Copyright © 1979 by Canadian Anesthesiologists' Society

Efficacy of Helium - Oxygen Mixtures in the Management of Severe Viral and Post-Intubation Croup

PETER G. DUNCAN 1

1 Paediatric Intensive Care Unit, Health Sciences Centre (Children's), 700 William Ave., Winnipeg, Manitoba, R3E 0Z3

An appreciable number of children with viral or post-intubation croup progress to respiratory failure necessitating an artificial airway. We report seven such patients with critical airway narrowing in whom we reduced the work of breathing by deploying helium rather than air as a carrier gas for oxygen. Assessment of patients by a croup-scoring system and blood gas analysis suggests helium-oxygen mixtures to be a useful alternative to intervention with tracheostomy or tracheal intubation. The rationale and limitations of this treatment are discussed.




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[Abstract] [Full Text] [PDF]


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Copyright © 1979 by the Canadian Anesthesiologists' Society.