Updated protocol proposed following an endoscopic study on intubation of the „pathological larynx'. Applications
| Autor: | Bogdan MOSCALIUC, Viorel ZAINEA, Răzvan HAINĂROȘIE, Cosmin NISIPAȘU |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: | |
| Zdroj: | Romanian Journal of Medical Practice, Vol 15, Iss 2, Pp 193-198 (2020) |
| Druh dokumentu: | article |
| ISSN: | 1842-8258 2069-6108 |
| DOI: | 10.37897/RJMP.2020.2.13 |
| Popis: | The anaesthesia and ICU doctor is confronted daily with the oro-tracheal intubation maneuver. We tried to identify by video-endoscopic means lesions or primary laryngeal dysfunctions on which the success and quality of general intubation / anesthesia as well as the prevention of secondary laryngeal and laryngotracheal lesions depend. We performed a prospective, observational, analytical and statistical study based on laryngeal and anatomical perimeter video-endoscopy, a study that included 1,031 orotracheal intubations (OTI) from which we selected 52 clinical cases relevant to the context of difficult intubation on pathological larynx. We used in a proportion of 64% fiber-optic as a technological means of exposing the larynx for oro-tracheal intubation (OTI) to prevent a difficult oro-tracheal intubation (IOT) or to complete it. An updated protocol was proposed in order to identify the pathological larynx, the lesions secondary to the intubation maneuver, the emergencies. |
| Databáze: | Directory of Open Access Journals |
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