Laryngeal Injury Following Short-Term Intubation

Peppard, Sean B.; Dickens, J. H.; Modell, Jerome H.

doi:10.1097/00132586-198406000-00040

Cited by 15 publications

(18 citation statements)

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“…Indirect laryngoscopic examination of 475 patients who had been intubated for elective surgery demonstrated that a small proportion of patients (6.3%) had traumatic lesions of the larynx or hypopharynx [41]. Most of these injuries were glottic haematomas, with the left cord being affected more often than the right, possibly because of the fact that the tube was turned to the left by the anaesthetist during intubation.…”

Section: Injuries Resulting From Tracheal Intubationmentioning

confidence: 99%

“…Because it is not routine practice to examine the larynx after the use of airway instruments, most macroscopic injuries are likely to remain undiscovered. The most common injury is haematoma of the left vocal cord, there is no specific treatment for this but it tends to resolve spontaneously [41]. Laceration of the mucosa of the vocal cord may be treated by means of laryngeal microsurgery to remove the torn mucosa [60], although the injury does not usually cause an anatomical or functional disorder.…”

Section: Treatment Of Postoperative Throat Symptomsmentioning

confidence: 99%

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Postoperative sore throat: cause, prevention and treatment

1999

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SummarySore throat is a common postoperative complaint, occurring most often following tracheal intubation. Factors such as tracheal-tube size and cuff design have been shown to be important causative factors. Routine tracheal intubation for elective surgical procedures can result in pathological changes, trauma and nerve damage which may also account for postoperative throat symptoms. Sore throat following the use of a laryngeal mask appears to be related to the technique of insertion but the contribution of intracuff pressure remains to be clarified. It would appear, however, that high intracuff pressure is associated with nerve palsies due to neuropraxia and nerve compression. Careful insertion techniques for both the tracheal tube and laryngeal mask are of paramount importance in the prevention of airway trauma and postoperative sore throat.

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Section: Injuries Resulting From Tracheal Intubationmentioning

confidence: 99%

Section: Treatment Of Postoperative Throat Symptomsmentioning

confidence: 99%

Postoperative sore throat: cause, prevention and treatment

1999

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“…6 Bronchial injury and vocal cord injury were defined as redness, oedema and haematoma. [7][8][9] The intubation-related complications were recorded by the surgeons and anaesthetists.…”

Section: Anaesthetic Techniquesmentioning

confidence: 99%

Video‐assisted thoracoscopic surgery using single‐lumen endotracheal tube anaesthesia in primary spontaneous pneumothorax

Cheng

Huang

Lee³

et al. 2010

Respirology

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“…These can be collectively grouped as vocal cord injury. Oedema and haematoma are observed most commonly , whereas vocal process granulomas and arytenoid subluxation occur in less than 0.1% of cases . Double‐lumen tubes are more than twice as likely to result in vocal cord injury and hoarseness as single‐lumen tubes with bronchial blockers and 8.5‐mm tubes are associated with more hoarseness than 6.5‐mm tubes .…”

Section: Discussionmentioning

confidence: 99%

Tracheal tube size in adults undergoing elective surgery – a narrative review

Karmali

Rose

2020

Anaesthesia

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Tracheal tubes are routinely used in adults undergoing elective surgery. The size of the tracheal tube, defined by its internal diameter, is often generically selected according to sex, with 7-7.5 mm and 8-8.5 mm tubes recommended in women and men, respectively. Tracheal diameter in adults is highly variable, being narrowest at the subglottis, and is affected by height and sex. The outer diameter of routinely used tracheal tubes may exceed these dimensions, traumatise the airway and increase the risk of postoperative sore throat and hoarseness. These complications disproportionately affect women and may be mitigated by using smaller tracheal tubes (6-6.5 mm). Patient safety concerns about using small tracheal tubes are based on critical care populations undergoing prolonged periods of tracheal intubation and not patients undergoing elective surgery. The internal diameter of the tube corresponds to its clinical utility. Tracheal tubes as small as 6.0 mm will accommodate routinely used intubation aids, suction devices and slim-line fibreoptic bronchoscopes. Positive pressure ventilation may be performed without increasing the risk of ventilator-induced lung injury or air trapping, even when high minute volumes are required. There is also no demonstrable increased risk of aspiration or cuff pressure damage when using smaller tracheal tubes. Small tracheal tubes may not be safe in all patients, such as those with high secretion loads and airflow limitation. A balanced view of risks and benefits should be taken appropriate to the clinical context, to select the smallest tracheal tube that permits safe perioperative management.

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Laryngeal Injury Following Short-Term Intubation

Cited by 15 publications

References 0 publications

Postoperative sore throat: cause, prevention and treatment

Postoperative sore throat: cause, prevention and treatment

Video‐assisted thoracoscopic surgery using single‐lumen endotracheal tube anaesthesia in primary spontaneous pneumothorax

Tracheal tube size in adults undergoing elective surgery – a narrative review

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