[Airway management in ICU patients with mechanical ventilation].
A prospective protocol for the management of the airway was applied to patients in the ICU. Acute complications due to intubation and tracheotomy as well as laryngo-tracheal lesions were studied in 125 consecutive patients during one year from the moment of extubation. Thirty four cases (27%) needed reintubation, and 58 tracheotomies were performed (46%). The average length of intubation was of 10 +/- 7 days. Sixty five patients (53%) had acute complications due to intubation and 30 (52%) had acute complications due to the traccotomy. The high incidence of laryngo-tracheal lesions in the 85 patients who underwent early exploration (76 cases [90%]) was reduced in those who underwent late exploration (11 cases [20%]). Analysis of possible prognostic factors in the development of late lesions allows us to affirm that a reduction in the length of intubation diminishes the presence of late lesions. We recommend the avoidance of oro-tracheal intubation prolonged for more than 10 days by the early carrying out of tracheotomy.
Esteller More
E
E
Servicio de ORL, Hospital General de Catalunya, Sant Cugat del Vallés, Barcelona.
Ibáñez Nolla
J
J
Orus Dotu
C
C
Díaz Boladeras
R M
RM
León Regidor
A
A
Adema Alcover
J M
JM
Nolla Salas
M
M
D000293:Adolescent; D000328:Adult; D000368:Aged; D003422:Critical Care; D005260:Female; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects; D008297:Male; D008875:Middle Aged; D012121:Respiration, Artificial; D014140:Tracheotomy / Q000009:adverse effects
Mantenimiento de la vía aérea en pacientes de UCI bajo ventilación mecánica.