Lxxxi Airway Problems in Children Following Prolonged Endotracheal Intubation

Fearon, Blair; MacDonald, Reece; Smith, Code; Mitchell, David

doi:10.1213/00000539-196803000-00015

Cited by 12 publications

(7 citation statements)

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“…In other studies [1,2,5,6,8] of prolonged intubation more pro nounced and serious changes in the larynx and trachea have, however, been noted especially as late complications. The most serious of these is stenosis of the trachea.…”

Section: Discussionmentioning

confidence: 96%

“…Intubation which only lasts a few hours can produce lesions of the nose, throat, larynx and trachea [2,5,6,8]. The degree of severity of these changes varies greatly individually.…”

Section: Discussionmentioning

confidence: 99%

“…Some of the important factors, in addition to the time factor, are as follows: (a) the general condition of the patient; (b) the material of the tube [1,5]; (c) the size of the tube in relationship to the patient's trachea [2,7,8,10,11]; (d) careful intubatory technique [2,5,10,11]; (e) use of a cuff and the amount of pressure in the cuff [1,11,15]; (f) degree of moisture in the respiratory air both in the period of intubation and the first period after extubation [4,5,7,10,11], and last but not least (g) extremely careful nursing which these often very sick patients demand.…”

Section: Discussionmentioning

confidence: 99%

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Changes in the Upper Respiratory Tract after Prolonged Naso-Tracheal Intubation

Bl¹

1972

ORL

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Changes in the upper respiratory tract after naso-tracheal intubation were studied in a group of 95 patients who had been intubated for a prolonged period of time because of respiratory insuffiency. Length of intubation varied from 1 to 31 days. Patients were followed by frequent inspection of the upper respiratory tract until all objective changes had disappeared. Mucosal lesions of the oro- and hypopharynx apparently played only a minor role. In the nasal cavity mucosal necrosis of varying extent and at times even granulation was found, but all changes healed spontaneously. The laryngeal changes also disappeared spontaneously. These changes consisted primarily of deposits on the vocal cords and the posterior subglottis together with erosion of the arytenoid cartilage. In 10% of the cases laryngeal granulation polyps were seen which disappeared spontaneously. After extubation stenosis in the subglottis or trachea was seen in 3 cases and was apparently in part caused by intubation. On the basis of this study it is concluded that changes and late complications after prolonged naso-tracheal intubation are so minor that intubation can be continued for several days without serious risk.

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Section: Discussionmentioning

confidence: 96%

“…Intubation which only lasts a few hours can produce lesions of the nose, throat, larynx and trachea [2,5,6,8]. The degree of severity of these changes varies greatly individually.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Changes in the Upper Respiratory Tract after Prolonged Naso-Tracheal Intubation

Bl¹

1972

ORL

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“…F earon et al [5], H arrisson et T onkin [6], L indholm [8], D ebain et al [4] s'étant particulièrement attachés à les décrire.…”

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“…F earon et al [5], puis L indholm [8] qui note l'absence de gra nulomes inflammatoires des cordes après intubation chez l'enfant, enfin D ebain et al [4] décrivent 2 types de complications: les synéchies posté rieures des cordes et les sténoses sous-glottiques généralement en virole. Ils remarquent qu'elles surviennent après un intervalle libre qui est de 3 semaines pour les premières, 12 semaines pour les secondes.…”

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L’endoscopie laryngo-trachéale chez les enfants nés avant terme et les nourrissons, en particulier après intubation prolongée

Goumaz¹

1971

ORL

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As prolonged intubation in new born babies, in particular premature babies, is becoming more and more frequent and laryngotracheal sequelae is having to be systematically researched, we employ an endoscopy with magnifying lenses being designed for an arthroscopy, in order to practice a precise laryngotracheoscopy, as soon and as less traumatic as possible for these small patients. The facility of employing this instrument has multified the indications.

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