Article
Efficacy of routine Endoscopic Tracheal Assessment during Tracheostomy procedure
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Authors
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Ahmed El Batawi
- Kasr Alaini Hospitals, Faculty of Medicine, Cairo University, Giza, Egypt
| Published: | April 13, 2017 |
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Outline
Text
Introduction: Endotracheal intubation and mechanical ventilation are performed for potentially life threatening disorders, such as, respiratory failure. In addition, a large number of patients are electively intubated and mechanically ventilated in the postoperative period.
During the last decade prolonged intubation of trachea has commonly been used in the treatment of respiratory failure in intensive care units, which leads to the emerging of a lot of early and late complications but only few reports are available on specific complications of endotracheal intubation in mechanicallv ventilated patients.
Objective: Routine Endoscopic Tracheal evaluation during the Tracheostomy procedure.
Methods: A 45 patients whom are prolonged intubated with different intubation period ranging from (7-28) days, underwent tracheostomy procedure with trans-Tracheostomy opening endoscopic evaluation for the Trachea and upper bronchus.
Results: Nearly all the patients (42/45) had some sorts of subglottic ulceration in the posterior wall, Nearly all the patients (40/45) had different degrees of tracheal's carina obstruction with crustations and blood clots plugs which were removed endoscopically, 5 patients have TOF.
Conclusion: Routine Endoscopic Tracheal evaluation during Tracheostomy procedure is simple fast cheap way to rapidly diagnosis of complications of prolonged intubation and management of some of them (e.g. removal of Carina obstruction).
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