Which of the following patients are at high risk for severe ...

[ETearle]

Which of the following patients are at high risk for severe laryngeal edema after an endotracheal tube extubation?
 
  1. Pediatric burn victim
  2. Patient with epiglottitis
  3. Smoke inhalation patient
  4. Pulmonary fibrosis patient
  a. 2 and 4 only
  b. 1, 2, and 3 only
  c. 3 and 4 only
  d. 1, 2, 3, and 4

Question 2

What patients are at high risk for postextubation upper airway obstruction? 1. Those with neuromuscular disorders 2. Those who have had major neck surgery 3. Those with infectious masses or abscesses
 
  a. 2 and 3 only
  b. 1 and 2 only
  c. 1 and 3 only
  d. 1, 2, and 3

[Chou]

Answer to Question 1

ANS: B
Children, patients with epiglottitis or angioedema (dermal, subcutaneous, or submucosal edema of the face or larynx), and patients who have sustained smoke inhalation are at greater risk.

Answer to Question 2

ANS: D
Compression of the airway due to traumatic or postoperative hematoma of the neck, infectious masses or abscesses, and malignant tumors or compression after major head or neck surgery can lead to upper airway obstruction after extubation.