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  • Title: [Airway management in ICU patients with mechanical ventilation].
    Author: Esteller More E, Ibáñez Nolla J, Orus Dotu C, Díaz Boladeras RM, León Regidor A, Adema Alcover JM, Nolla Salas M.
    Journal: An Med Interna; 1998 Feb; 15(2):75-9. PubMed ID: 9580361.
    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.
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