Laryngeal Injury From Prolonged Intubation: A Prospective Analysis of Contributing Factors
Laryngeal Injury From Prolonged Intubation: A Prospective Analysis of Contributing Factors
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DOI：
10.1002/lary.21403
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发表时间：
2011-03-01
期刊：
影响因子：
2.6
通讯作者：
Langmore, Susan
中科院分区：
文献类型：
--
作者：
House, Joyce Colton;Noordzij, J. Pieter;Langmore, Susan
目的/假设：插管导致喉损伤的因素尚未完全了解。本研究旨在确定插管持续时间、气管插管尺寸和/或气管插管类型是否影响拔管后声带不动和其他喉损伤的程度。研究设计：前瞻性研究。方法：61例插管超过48小时的成人患者在拔管后不久接受记录的可弯曲鼻喉镜检查。结果：41%的患者有一定程度的声带不动。然而，无论是插管的持续时间（范围，2-28天，平均9.1天），气管内导管的大小（范围，6至8），也没有气管内导管的类型显着影响喉损伤的程度，包括声带不动。此外，没有收集的人口统计学信息（年龄，性别，身高，体重）显着影响喉injure.Conclusions的程度：在这个队列中，插管的持续时间，气管内导管的类型，和气管内导管的大小不显着相关的发生率声带的流动性和喉损伤的程度后，注意到长时间插管。
Objectives/Hypothesis: The factors leading to laryngeal injury due to intubation are not fully understood. This study sought to determine if duration of intubation, size of endotracheal tube, and/or type of endotracheal tube impact the degree of vocal fold immobility and other laryngeal injury upon extubation.Study Design: Prospective study.Methods: Sixty-one adult patients intubated for more than 48 hours were examined by recorded flexible nasolaryngoscopy shortly after extubation.Results: Forty-one percent of patients had some degree of vocal fold immobility. However, neither the duration of intubation (range, 2-28 days; mean, 9.1 days), the size of endotracheal tube (range, 6 to 8), nor the type of endotracheal tube significantly affected the degree of laryngeal injury including vocal fold immobility. Additionally, none of the collected demographic information (age, gender, height, weight) significantly affected the degree of laryngeal injury.Conclusions: In this cohort, duration of intubation, type of endotracheal tube, and size of endotracheal tube do not significantly correlate to the incidence of vocal fold mobility and degree of laryngeal injury noted after prolonged intubation.