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William S. Jordan, MD; Constance L. Graves, MD; Richard A. Elwyn, MD

JAMA. 1970;212(4):585-588.

Abstract
In the postanesthetic period, laryngeal edema and tracheitis with obstructive croup-like symptoms occur in a certain percentage of children who undergo intubation for surgery. In a small portion of these children, despite the usual therapy with cool mist occasionally combined with corticosteroids, progression of the obstruction requires more active means of restoring the airway. With positive pressure assistance to ventilation while nebulizing racemic epinephrine, we have been able to relieve the obstruction in all children with this complication without recourse to reintubation or tracheotomy.

Author Affiliations
From the Division of Anesthesiology, University of Utah College of Medicine (Drs. Jordan and Graves), and the Department of Anesthesiology, Primary Children's Hospital, Salt Lake City (Dr. Elwyn).

Footnotes
Read before the Section of Anesthesiology at the 118th annual convention of the American Medical Association, New York, July 16, 1969.

Reprint requests to 50 N Medical Dr, Salt Lake City 84112 (Dr. Jordan).

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