title: [Airway management in ICU patients with mechanical ventilation].
abstract: 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.
authors.affiliation: Servicio de ORL, Hospital General de Catalunya, Sant Cugat del Vallés, Barcelona.
authors.forename: E
authors.initials: E
authors.lastname: Esteller More
authors.forename: J
authors.initials: J
authors.lastname: Ibáñez Nolla
authors.forename: C
authors.initials: C
authors.lastname: Orus Dotu
authors.forename: R M
authors.initials: RM
authors.lastname: Díaz Boladeras
authors.forename: A
authors.initials: A
authors.lastname: León Regidor
authors.forename: J M
authors.initials: JM
authors.lastname: Adema Alcover
authors.forename: M
authors.initials: M
authors.lastname: Nolla Salas
mesh_terms: 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
vernacular_title: Mantenimiento de la vía aérea en pacientes de UCI bajo ventilación mecánica.