JIBI INKOKA TEMBO
Online ISSN : 1883-6429
Print ISSN : 0386-9687
ISSN-L : 0386-9687
LARYNGEAL AND TRACHEAL COMPLICATIONS IN ENDOTRACHEAL INTUBATION
Hirohiko HesakaFumikazu OtaMasato MatsuiHiroshi Moriyama
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1997 Volume 40 Issue 1 Pages 62-70

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Abstract
There is a trends for endotracheal intubation to be performed frequently for not only general anesthesia but also for long-term respiratory management, emergent cardio-pulmonary resuscitation and others. In association with this we otorhinolaryngologists have come to encounter increasing number of cases requiring treatment of various kinds of laryngeal and tracheal damage caused by endotracheal intubation. In this paper, we present cases with pharyngeal pain, laryngeal edema, recurrent laryngeal nerve palsy, laryngeal granuloma, laryngeal web, tracheal stenosis and tracheosophageal fistula which developed as complications caused by endotracheal intubation. We report the causes, diagnosis and treatment of these complications. The most important is to take careful approach to prevent these complications; acquisition of skillful intubation technique, selection of the appropriate intubation tube, check the cuff and pressure, and safeguard of the larynx and trachea during intubation. Since the pathological state of these complications is various, the best therapeutic approach must be considered for treatment of each case.
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© Oto-rhino-laryngology Tokyo
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