Post Operative Stridor

🔑 Key Priorities

• Early recognition of partial airway obstruction

• Prompt treatment with oxygen, nebulised adrenaline, and steroids

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🧠 Team Actions

Role	Task
Team Leader	Diagnose, initiate airway support, call for help
Airway Manager	Position patient, apply O₂, prepare for reintubation
Assistant	Administer adrenaline + steroids, monitor vitals

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🧭 Management Algorithm

1. Audible stridor, use of accessory muscles, agitation

2. High-flow oxygen via facemask

3. Nebulised adrenaline (5 mL of 1:1000)

4. Dexamethasone 4–8 mg IV

5. Sit patient upright if possible

6. Prepare for urgent reintubation if deteriorating

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🔄 Ideal Crisis Flow

      Noisy Breathing + Agitation Post-Extubation
                    ↓
       High Flow O₂ + Nebulised Adrenaline + Steroids
                    ↓
        Sit Upright + Prepare Reintubation Plan
                    ↓
       Urgent Intubation if Worsening Obstruction