Profil Faktor Risiko Penderita Stridor Paska Intubasi Pada Anak dengan Kecurigaan Stenosis Subglotis di RSUD Dr. Saiful Anwar Malang Periode 1 Januari – 31 Desember 2017

Abstract

ABSTRACT

Background: Subglottic stenosis (SGS) is a decrease in the width of the subglottic. Although it can be congenital, 90% of the SGS are acquired with intubation and mechanical respiratory assistance being the main cause. The risk factors that cause SGS are poorly understood. Purpose: To identify risk factors on post-intubation stridor patient with suspicion of subglottic stenosis to assist prevention and optimal management strategies. Methods: Retrospective descriptive study with subject of the study are medical records of post-intubation stridor patient in children that have been suspected subglottic stenosis at otorhinolaryngology head and neck surgery departement of Saiful Anwar General Hospital Malang from January 1^st until December 31^st 2017 Result: The study included 12 subjects. Male to female ratio 3:1, highest distribution 0-1 years old group 50%, aterm pregnancy age 83.3%, normal birth weight 75%, intubation frequency > 1 times 58,3%, duration of intubation > 7 days 66,7%, central nervous system as main disease 41,7%, underwent tracheostomy 33,3%, underwent endoscopic diagnosis 41,7% with 100% suffer subglottic stenosis with various severity. Conclusion: Incidence of post-intubation subglottic stenosis in children is quite high and needs further investigation to identify risk factors.

Keyword: Stenosis subglottic in children, risk factors post-intubation