Incidence of laryngeal complications associated with prolonged endotracheal intubation

Dr. Anshul Bansal
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Abstract

Introduction: Complications attributable to intubation increase morbidity and may increase the mortality rate. Aim: The aim of this study was to evaluate laryngeal lesions in patients after prolonged intubation (˃24 h), to correlate these lesions with the variables involved in the process of intubation and to determine the risk factors. Materials and Methods: This is a prospective study of patients who were intubated for more than 24 h in ENT operation theatre and critical care unit. Patients underwent for laryngoscopy on the day of extubation, weekly after extubating for two weeks then monthly upto 6 months. Results: 66 patients were intubated in this study, laryngeal abnormalities were seen in most patients of all groups, on the day of extubation and only patients who undergone for prolonged intubation had abnormal finding a month after extubation. Conclusion: At the end of one-month laryngeal findings were influenced only by the duration of intubation.
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长时间气管插管后喉部并发症的发生率
导言:气管插管引起的并发症增加了发病率,并可能增加死亡率。目的:本研究的目的是评估长时间插管(24 h)后患者喉部病变情况,探讨这些病变与插管过程中涉及的变量之间的关系,并确定其危险因素。材料与方法:本研究是一项前瞻性研究,对在耳鼻喉科手术室和重症监护病房插管24小时以上的患者进行研究。患者在拔管当天进行喉镜检查,拔管后每周进行一次,持续两周,然后每月进行一次,直至6个月。结果:本研究共66例患者插管,各组患者均在拔管当日出现喉异常,只有延长插管的患者在拔管1个月后出现喉异常。结论:1个月后喉部表现仅受插管时间的影响。
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