Nebulized Corticosteroid for Post Extubation Stridor in Children

Nebulized Corticosteroid for Post Extubation Stridor in Children: A Randomized Double Blind Controlled Trial

The purpose of this study is to evaluate the efficacy and adverse effect of nebulized corticosteroid to prevent post-extubation stridor in children.

The guideline for prevention and treatment of post-extubation stridor in children is inconclusive include Nebulized epinephrine and intravenous corticosteroid. Nebulized corticosteroid is alternative treatment for viral croup. the rationale of this study to evaluate the efficacy of nebulized fluticasone propionate to prevent pediatric post-extubation stridor

Inclusion Criteria:

• Children age between 1 month old - 18 year old who was intubated

Exclusion Criteria:

• Palliative care
• Anatomical abnormalities of airway; subglottic stenosis
• Neuromuscular disease with negative inspiratory force < - 30 mmHg
• Need positive pressure after extubation