Aspectos clínicos, histológicos e de microscopia eletrônica dos granulomas de intubação das pregas vocais

Martins, Regina Helena Garcia; Dias, Norimar Hernandes; Santos, Daniela Carvalho dos; Fabro, Alexandre Todorovic; Bráz, José Reinaldo Cerqueira

doi:10.1590/s0034-72992009000100019

Cited by 3 publications

(15 citation statements)

References 14 publications

(14 reference statements)

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“…diagnosticados em pacientes intubados por curto período de tempo. Isso leva a crer que o tempo de intubação não parece ser o único fator determinante para o aparecimento da lesão (7). O fato de que alguns pacientes desenvolvem granulomas mesmo após poucas horas de intubação, também foi destacado por outros autores (28,29).…”

Section: Relação Com O Tempounclassified

“…A incidência de paralisia de prega vocal varia de 1% (39) a 37% (27). Esta discrepância existe porque alguns classificam como paralisia a paresia pós-intubação orotraqueal (7).…”

Section: Paresia E Paralisia De Prega Vocalunclassified

“…Diversos tipos de lesões laríngeas e traqueais, secundárias à intubação endotraqueal, têm sido descritas (7). Logo na introdução da cânula por via oral, durante as tentativas de exposição da glote com o laringoscópio, são descritas, exodontia, lesão de lábio, língua e faringe lacerações em epiglote, pregas vocais, esôfago e traqueia, hematomas e avulsão de pregas vocais, deslocamento e luxação de cartilagens aritenóideas (8).…”

Section: Introductionunclassified

“…Com o tempo ocorrem complicações como ulcerações de mucosa, estenoses e granulomas (1,2). Na fisiopatologia dessas lesões, a isquemia da mucosa é o denominador comum, particularmente pelo uso de tubos traqueais de maior diâmetro e pela elevada pressão intracuff (7).…”

Section: Introductionunclassified

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Complicações laringeas por intubação orotraqueal: Revisão da literatura

Mota¹,

Cavalho²,

Brito³

2012

Arq Int Otorrinolaringol

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Section: Relação Com O Tempounclassified

“…A incidência de paralisia de prega vocal varia de 1% (39) a 37% (27). Esta discrepância existe porque alguns classificam como paralisia a paresia pós-intubação orotraqueal (7).…”

Section: Paresia E Paralisia De Prega Vocalunclassified

Section: Introductionunclassified

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Complicações laringeas por intubação orotraqueal: Revisão da literatura

Mota¹,

Cavalho²,

Brito³

2012

Arq Int Otorrinolaringol

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“…However, most incident injuries are tracheomalacia, tracheal necrosis and stenosis, laryngeal and vocal cords ulcers, paresis and paralysis of vocal cords, tracheoesophageal fistula and granuloma, all related to the greater length of time device use (3,(6)(7)(8) . Furthermore, the intubation procedure can lead to complications in clinical status of patients, including: severe hypoxia, severe hypotension, esophageal intubation, aspiration, cardiac arrest and death (9) .…”

Section: Introductionmentioning

confidence: 99%

Patient safety and the prevention of skin and mucosal lesions associated with airway invasive devices

Pinto

Schons

Busanello

et al. 2015

Rev. esc. enferm. USP

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Objective:To analyze the care implemented by the nursing team to promote the safety of adult patients and prevention of skin and mucosal lesions associated with the presence of lower airways invasive devices. Method: Study with qualitative and quantitative approach, descriptive and exploratory type, whose investigative scenarios were adult inpatient units of a hospital in the West Frontier of Rio Grande do Sul. The study subjects consisted of nurses, nursing technicians and nursing assistants. Results: A total of 118 professionals were interviewed. We highlight the observed specific care with endotracheal tube and tracheostomy, management and assessment of the cuff and the criteria used to secretion aspiration. Conclusion: There is a superficial nursing work in the patient direct care and a differentiation in relation to the perception of nurse technicians, especially those working in the intensive care unit, who presented major property and view of the patient's clinical status. DESCRIPTORS Patient safety and the prevention of skin and mucosal lesions associated with airway invasive devicesSegurança do paciente e a prevenção de lesões cutâneo-mucosas associadas aos dispositivos invasivos nas vias aéreas La seguridad del paciente y la prevención de lesiones cutáneo-mucosas asociadas con los dispositivos invasivos en las vías aéreas INTRODUCTIONHospitalized patients in clinical units or intensive care units at some point may require the use of an airway device to replace or assist in maintaining ventilation. The use of an endotracheal tube (ET) and/or tracheostomy tube are the main instruments that composes this maintenance, allowing oxygen installation, removal of secretions and mechanical ventilation.Facing the use of these invasive devices, patients can be subjected to cutaneous and mucosal lesions in upper and lower airways. Thus, we highlight aspects related to patient safety and the onset of these adverse events that may result from the length of use, above all, the list of complex care required to maintain these devices, in which minimum failures can be translated in irreparable damage to the patient.Patient safety is aimed at reducing unnecessary harm, involving the practical actions that minimize the complications to the context and devices from which care is provided (1) . Still, patient safety is related to the actions to ensure the integrity of people, preventing adverse events and the prevention of errors, thus promoting a safer patient care (2) . Thus, care processes that permeate the care of patients who use these devices, especially those airways invasive, should focus on reducing the risk of skin and mucosal, oropharyngeal, laryngopharyngeal, laryngeal and tracheal lesions. These measures ensure the airway maintenance, important for therapy, avoiding possible temporary or permanent damage, longer hospitalizations and, consequently, the patient's suffering.Considering the security for the prevention of skin and mucosal lesions in patients undergoing lower airways invasive devices, there...

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Laryngeal complications by orotracheal intubation: Literature review

Mota

Cavalho

Brito

2012

Int Arch Otorhinolaryngol

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Sumamry Introduction: The injuries caused for the orotracheal intubation are common in our way and widely told by literature. Generally the pipe rank of or consequence of its permanence in the aerial ways of the patient is caused by accidents in. It has diverse types of larynx injuries, caused for multiple mechanisms. Objective: To verify, in literature, the main causes of laryngeal complications after- orotracheal intubation and its mechanisms of injury. Revision of Literature: The searched databases had been LILACS, BIREME and SCIELO. Were updated, books and theses had been used, delimiting itself the period enters 1953 the 2009. The keywords used for the search of articles had been: complications, injuries, larynx, intubation, endotracheal, orotracheal, granulomas, stenosis. 59 references had been selected. The used criteria of inclusion for the choice of articles had been the ones that had shown to the diverse types of injuries caused for the orotracheal intubation and its pathophysiology. Final Considerations: This revision of literature was motivated by the comment in the practical clinic of a great number of laryngeal sequels in patients submitted to the orotracheal intubation. Of that is ahead important the knowledge, for the professionals of the area of health, the types of complications and its causes, with intention to prevent them, adopting measured of prevention of these injuries.

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Aspectos clínicos, histológicos e de microscopia eletrônica dos granulomas de intubação das pregas vocais

Cited by 3 publications

References 14 publications

Complicações laringeas por intubação orotraqueal: Revisão da literatura

Complicações laringeas por intubação orotraqueal: Revisão da literatura

Patient safety and the prevention of skin and mucosal lesions associated with airway invasive devices

Laryngeal complications by orotracheal intubation: Literature review

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