{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T10:45:11Z","timestamp":1761648311338,"version":"build-2065373602"},"reference-count":16,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[1986,11,1]],"date-time":"1986-11-01T00:00:00Z","timestamp":531187200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[1986,11]]},"abstract":"<jats:p>Nasotracheal intubation has been demonstrated to be effective in supporting the airways of children with acute epiglottitis. Length of intubation and criteria used for extubation are still controversial. A 6\u2010year retrospective review at Children's Hospital of Pittsburgh identified 100 cases of acute epiglottitis, which were initially managed with nasotracheal intubation. Extubation was based on direct laryngeal inspection performed in the operating room (1979\u20131981) and, more recently, in the intensive care unit (1982\u20131984). Length of intubation decreased from 63.8 hours in 1979 to 42.1 hours in 1984. The percent of children intubated longer than 48 hours decreased from 69% to 22% in the same time period. These data indicate that a shorter period of intubation is aided by daily laryngeal inspection in the ICU. We propose a staging system for acute epiglottitis to aid in the decision to safely extubate these children.<\/jats:p>","DOI":"10.1177\/019459988609500410","type":"journal-article","created":{"date-parts":[[2015,11,25]],"date-time":"2015-11-25T07:04:08Z","timestamp":1448435048000},"page":"477-481","source":"Crossref","is-referenced-by-count":18,"title":["Duration of Intubation in Children with Acute Epiglottitis"],"prefix":"10.1002","volume":"95","author":[{"given":"Carlos","family":"Gonzalez","sequence":"first","affiliation":[{"name":"Department of Otolaryngology F. Edward Hebert School of Medicine Uniformed Services University of the Health Services Walter Reed Army Medical Center Washington D.C."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James S.","family":"Reilly","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology University of Pittsburgh School of Medicine Pittsburgh Pennsylvania"},{"name":"Otolaryngology Department of Children's Hospital of Pittsburgh Pittsburgh Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Margaret A.","family":"Kenna","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology University of Pittsburgh School of Medicine Pittsburgh Pennsylvania"},{"name":"Otolaryngology Department of Children's Hospital of Pittsburgh Pittsburgh Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ann E.","family":"Thompson","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Pediatrics University of Pittsburgh School of Medicine Pittsburgh Pennsylvania"},{"name":"Pediatric Intensive Care Unit of Children's Hospital of Pittsburgh Pittsburgh Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[1986,11]]},"reference":[{"key":"e_1_2_1_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1941.02820290012004"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM195805012581802"},{"key":"e_1_2_1_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/50.5.505"},{"key":"e_1_2_1_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-6576.1979.tb01470.x"},{"key":"e_1_2_1_6_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-197501000-00003"},{"key":"e_1_2_1_7_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.63.3.402"},{"key":"e_1_2_1_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF03005063"},{"key":"e_1_2_1_9_1","doi-asserted-by":"publisher","DOI":"10.1213\/00000539-197509000-00015"},{"key":"e_1_2_1_10_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198005000-00011"},{"key":"e_1_2_1_11_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.57.1.152"},{"key":"e_1_2_1_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF03006807"},{"key":"e_1_2_1_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-197703000-00010"},{"key":"e_1_2_1_14_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1973.00780010385003"},{"key":"e_1_2_1_15_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016486909121574"},{"key":"e_1_2_1_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(83)80540-X"},{"key":"e_1_2_1_17_1","doi-asserted-by":"publisher","DOI":"10.1213\/00000539-198309000-00001"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/019459988609500410","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/019459988609500410","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T12:11:03Z","timestamp":1760962263000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1177\/019459988609500410"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1986,11]]},"references-count":16,"journal-issue":{"issue":"4","published-print":{"date-parts":[[1986,11]]}},"alternative-id":["10.1177\/019459988609500410"],"URL":"https:\/\/doi.org\/10.1177\/019459988609500410","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"type":"print","value":"0194-5998"},{"type":"electronic","value":"1097-6817"}],"subject":[],"published":{"date-parts":[[1986,11]]}}}