delayed post intubation edema
-presents as inspiratory stridor
-swelling only at the neck, lungs clear.
-due to swelling of the larynx from physical damage to the mucosal membrane
-racemic epinepherine and albuterol,
-a single dose of 40 mg methylprednisolone 24 hours before extubation has key role in prevention (Cheng et al)
-dont use PEEP, as it delays reintubation which is the key way to treat