Complications and late sequelae following nasotracheal intubation
| Autor: | J. Pedersen, B. Juhl, B. A. Schurizek, Hans Ole Holdgaard, N. C. Melsen |
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| Rok vydání: | 1993 |
| Předmět: |
Larynx
Nasal cavity Adult Male medicine.medical_specialty Time Factors Maxillary sinus Adolescent medicine.medical_treatment Nostril Intensive care Nose Diseases otorhinolaryngologic diseases Nasal septum Intubation Intratracheal Paranasal Sinus Diseases Medicine Intubation Humans Prospective Studies Ear Diseases Nose Aged Aged 80 and over Voice Disorders business.industry General Medicine Pharyngeal Diseases respiratory system Maxillary Sinus Middle Aged Surgery Anesthesiology and Pain Medicine medicine.anatomical_structure Anesthesia Female business Follow-Up Studies |
| Zdroj: | Acta anaesthesiologica Scandinavica. 37(5) |
| ISSN: | 0001-5172 |
| Popis: | A total of 379 patients admitted to the ICU for mechanical ventilation were prospectively investigated for lesions on the nose, nasal cavity, ears and larynx during and after nasotracheal intubation. One to two years later, the surviving patients were questioned to investigate late persisting sequelae. During intubation and up to 5 days following extubation, inflammatory changes and ulceration of the nostrils or nasal septum were found in 76 (20%) and 110 patients (29%), respectively. There were bleedings from the nasal cavity in 67 (19%) and fractures of the conchae in 40 patients (11%). Hoarseness was noted in 135 patients (42%). Inflammatory changes and ulcerations of the nostril and nasal septum were correlated to the duration of intubation. Among the 281 patients included in the follow-up study, 100 (35%) had symptoms from the nose and nasal cavity. Sixty-five (24%) had symptoms related to the ears, 56 (20%) to the maxillary sinus, 81 (29%) to the voice and 90 (32%) to the throat. Increasing duration of intubation was found to be correlated to persisting symptoms from the larynx. Former ulcerations of the nose were associated with a tendency to nasal bleeding. To avoid as many complications as possible from the nose and nasal cavity, we recommend orotracheal intubation. As late sequelae from the larynx increase with the duration of intubation, perhaps tracheostomy should be performed earlier than is general practice today, but that has to be proven in forthcoming studies. |
| Databáze: | OpenAIRE |
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