Secondary prevention
In patients with post-obstructive infections, a course of antibiotics should be given after the airway has been re-established. However, the usefulness of empirical antibiotic coverage following central airway obstruction relief is unproven. The use of antibiotics has also been advocated when significant endobronchial mucopurulent material is noted during the procedure.[9]
Although there is no evidence that post-procedure corticosteroids reduce complications, and empirical corticosteroids are not usually given, a short course of oral corticosteroids may be reasonable in patients with a significant history of reactive airway disease to prevent bronchospasm. If laryngeal trauma from the procedure is suspected, corticosteroids may be given to prevent the possibility of the development of laryngeal oedema.[9]
Randomised prospective data about the perioperative use of corticosteroids or antibiotics are yet to be reported.
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