Predictive value of stridor in detecting laryngeal injury in extubated neonates

Crit Care Med. 1982 Jul;10(7):453-5. doi: 10.1097/00003246-198207000-00008.


We evaluated 73 consecutively extubated neonates for evidence of acute laryngeal injury from intubation. Hoarseness and stridor were graded by a clinical scoring system. Direct laryngoscopy with a flexible fiberoptic bronchoscope yielded a 44% incidence of moderate or major laryngeal injury. All patients with stridor had moderate or major injury, as did 38% of patients without stridor. Stridor was quite specific for detecting moderate or major injury but did not identify the type of injury.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Humans
  • Infant, Newborn
  • Infant, Newborn, Diseases / diagnosis*
  • Infant, Newborn, Diseases / etiology
  • Intubation, Intratracheal / adverse effects*
  • Laryngoscopy
  • Larynx / injuries*
  • Respiratory Sounds / diagnosis*
  • Respiratory Sounds / etiology