{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T23:48:07Z","timestamp":1777420087017,"version":"3.51.4"},"reference-count":8,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[1993,7,1]],"date-time":"1993-07-01T00:00:00Z","timestamp":741484800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ann Otol Rhinol Laryngol"],"published-print":{"date-parts":[[1993,7]]},"abstract":"<jats:p>One of the roles of the pediatric otolaryngologist in the neonatal intensive care unit (NICU) is the assessment and management of the neonate who fails a trial of extubation. This paper reviews the recent 5-year institutional experience at The Hospital for Sick Children, Toronto, with neonates who failed extubation and who subsequently underwent diagnostic endoscopy. One hundred twenty-eight neonates from the NICU underwent diagnostic endoscopy. Of these, 58 neonates underwent diagnostic endoscopy for failure to extubate. Nine neonates were extubated after diagnostic endoscopy and retrial (16% of the series). Eleven neonates were extubated after additional endoscopic procedures (19% of the series). Twenty-four neonates underwent anterior cricoid split, of whom 20 or 83% (34% of the series) were eventually successfully extubated with no further airway intervention required during the study period (minimum 6 months' follow-up). Eleven neonates underwent tracheotomy (19% of the series). Four neonates underwent another external procedure to allow extubation (7% of the series). Three neonates died while still intubated (5% of the series). Our management of the neonate who fails a trial of extubation is discussed.<\/jats:p>","DOI":"10.1177\/000348949310200701","type":"journal-article","created":{"date-parts":[[2014,10,3]],"date-time":"2014-10-03T14:38:05Z","timestamp":1412347085000},"page":"489-495","source":"Crossref","is-referenced-by-count":14,"title":["Failed Extubation in the Neonatal Intensive Care Unit"],"prefix":"10.1177","volume":"102","author":[{"given":"Paul","family":"Walker","sequence":"first","affiliation":[{"name":"Toronto, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vito","family":"Forte","sequence":"additional","affiliation":[{"name":"Toronto, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[1993,7,1]]},"reference":[{"key":"bibr1-000348949310200701","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199011000-00010"},{"key":"bibr2-000348949310200701","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198701000-00007"},{"key":"bibr3-000348949310200701","doi-asserted-by":"publisher","DOI":"10.1177\/000348948709600126"},{"key":"bibr4-000348949310200701","doi-asserted-by":"publisher","DOI":"10.1177\/000348948008900604"},{"key":"bibr5-000348949310200701","first-page":"187","volume":"13","author":"Pashley NRT","year":"1984","journal-title":"J Otolaryngol"},{"key":"bibr6-000348949310200701","doi-asserted-by":"publisher","DOI":"10.1177\/000348948509400505"},{"key":"bibr7-000348949310200701","doi-asserted-by":"publisher","DOI":"10.1016\/0165-5876(88)90097-3"},{"key":"bibr8-000348949310200701","doi-asserted-by":"publisher","DOI":"10.1016\/0165-5876(91)90038-D"}],"container-title":["Annals of Otology, Rhinology &amp; Laryngology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/000348949310200701","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/000348949310200701","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T11:13:02Z","timestamp":1777374782000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/000348949310200701"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1993,7]]},"references-count":8,"journal-issue":{"issue":"7","published-print":{"date-parts":[[1993,7]]}},"alternative-id":["10.1177\/000348949310200701"],"URL":"https:\/\/doi.org\/10.1177\/000348949310200701","relation":{},"ISSN":["0003-4894","1943-572X"],"issn-type":[{"value":"0003-4894","type":"print"},{"value":"1943-572X","type":"electronic"}],"subject":[],"published":{"date-parts":[[1993,7]]}}}