A survey of acute complications associated with endotracheal intubation

Jones, G. O. M.; Hale, Donald E.; Wasmuth, Carl E.; Homi, John; Smith, Ethelee R.; Viljoen, John F.

doi:10.3949/ccjm.35.1.23

Cited by 26 publications

(12 citation statements)

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“…since surgery [16]. In this regard, the findings of Jones G. O. M. et al are consistent with the results of the present study [13].…”

Section: R Sahraei Et Al J Fundam Appl Sci 2016 8(2s) 1106-1117 supporting

confidence: 93%

“…The current study aimed at investigating the prevalence of post-extubation complications within Conversely, according to Jones et al (1968), the prevalence of sore throat and hoarseness was respectively 56.1% and 4.4% [13]. Higgins et al (2002) sore throat was reported to be prevalent by 45.4% [14].…”

Section: Discussionmentioning

confidence: 92%

“…In this regard, Jones et al reported that the incidence of sore throat was more prevalent in prone position, during surgery, and in ENT surgeries [13].…”

Section: R Sahraei Et Al J Fundam Appl Sci 2016 8(2s) 1106-1117 mentioning

confidence: 99%

“…To elaborate more, it can be explicated that since discectomy requires prone position, that patients incur sore throat is more likely due fastening ETT to patients in supine position and rotating them to prone position without proper rotation of ETT [13]. Furthermore, the prevalence of sore throat in Rhinoplasty may contribute to the anatomical location of surgery and movement of head during the surgery [13].…”

Section: R Sahraei Et Al J Fundam Appl Sci 2016 8(2s) 1106-1117 mentioning

confidence: 99%

“…Furthermore, the prevalence of sore throat in Rhinoplasty may contribute to the anatomical location of surgery and movement of head during the surgery [13]. Besides, the type of surgery has a significant relationship with cough and hoarseness for which not any related studies have been found.…”

Section: R Sahraei Et Al J Fundam Appl Sci 2016 8(2s) 1106-1117 mentioning

confidence: 99%

See 4 more Smart Citations

Prevalence and risk factors of complication of endotracheal extubation in teaching hospitals affiliated with Jahrom University of medical science

Eftekhareian¹,

Sedaghat²,

Jafari³

et al. 2016

J. Fundam and Appl Sci.

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Endotracheal intubation is to maintain a safe open airway to prevent pulmonary aspiration by administrating general anesthesia. Endotracheal tube, as a foreign body, can stimulate the patients' airway during the emergence from general anesthesia and cause various reactions and complications immediately or within a multi-day delay. J Fundam Appl Sci. 2016, 8(2S), 1106-1117 1107The present study intended to determine the prevalence and associated risk factors of the complications of endotracheal extubation (removal of endotracheal tube / ETT) within 24 hrs.since the surgery. To this end, a descriptive research was conducted on 200 adult candidates for elective and emergency surgery of endotracheal intubation by administrating general anesthesia.Data about the intended associated risk factors and complications were respectively collected in operating room (OR) and within 24 hrs. since surgery and were recorded in the questionnaire.The results indicated that the prevalent complications were sore throat (%21), cough (%12.5) and hoarseness (%15.5). There was not any case of dysphagia and bloody sputum (blood-streaked expectorant). Also, there was a significant relationship between sore throat and the type of surgery (P˂0.001). On the other hand, there was not any statistically significant relationship between sore throat and other associated risk factors (sex, age, weight, type of surgery and size of endotracheal tube). Likewise, not any significant relationship was observed between cough, hoarseness and the intended risk factors. To conclude, the present study found that the type of surgery has a significant effect on the incidence of sore throat within 24 hrs. since the surgical operation; thus, raising awareness of these risk factors and taking proper actions, particularly during intubation, can reduce the incidence of complications, in particular sore throat, and improve patients' satisfaction.

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“…since surgery [16]. In this regard, the findings of Jones G. O. M. et al are consistent with the results of the present study [13].…”

Section: R Sahraei Et Al J Fundam Appl Sci 2016 8(2s) 1106-1117 supporting

confidence: 93%

Section: Discussionmentioning

confidence: 92%

“…In this regard, Jones et al reported that the incidence of sore throat was more prevalent in prone position, during surgery, and in ENT surgeries [13].…”

Section: R Sahraei Et Al J Fundam Appl Sci 2016 8(2s) 1106-1117 mentioning

confidence: 99%

Section: R Sahraei Et Al J Fundam Appl Sci 2016 8(2s) 1106-1117 mentioning

confidence: 99%

Section: R Sahraei Et Al J Fundam Appl Sci 2016 8(2s) 1106-1117 mentioning

confidence: 99%

See 3 more Smart Citations

Prevalence and risk factors of complication of endotracheal extubation in teaching hospitals affiliated with Jahrom University of medical science

Eftekhareian¹,

Sedaghat²,

Jafari³

et al. 2016

J. Fundam and Appl Sci.

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Vocal-Cord Paralysis With Endotracheal Intubation

Hahn¹,

Martin²,

Lillie³

1970

Archives of Otolaryngology - Head and Neck Surgery

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Bilateral Vocal Cord Paralysis Following Endotracheal Intubation

Brandwein¹,

Abramson²,

Shikowitz³

1986

Archives of Otolaryngology - Head and Neck Surgery

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\s=b\Bilateral vocal cord paralysis following endotracheal intubation is an uncommon cause of respiratory obstruction. We report one case, adding to ten previously identified. We dissected eight human cadaver larynges and noted the path of the anterior ramus of the recurrent laryngeal nerve. It appeared to be particularly vulnerable to compression injury as it passed between the arytenoid cartilage and the thyroid lamina. This point was confirmed by histologic sections of intubated larynges. (Arch Otolaryngol Head Neck Surg 1986;112:877-882) Bilateral vocal cord paralysis (BVCP) is an unusual complica¬ tion following endotracheal intuba¬ tion. The patient presents with acute onset of respiratory distress following extubation associated with stridor and tachypnea. These symptoms are rapidly alleviated on reintubation. Endotracheal intubation as the sole cause of vocal cord paralysis was first described in the 1950s.12 Review of the literature identified ten cases of BVCP in adults following intubation. The development of upper-airway (Dr Brandwein). obstruction after a short course of intubation with or without spontane¬ ous recovery, in addition to the physi¬ cal findings at the time of direct lar¬ yngoscopy, are the clinical features that can differentiate BVCP following intubation from other clinical causes of obstruction. In contradistinction to this rare clinical entity, unilateral vocal cord paralysis following recurrent laryn¬ geal nerve (RLN) injury occurs more frequently (42 cases in one series3). It may present as only transient hoarse¬ ness following surgery. A number of theories have been suggested to explain the phenomenon of RLN injury. Positioning the patient's head for surgery so that it is hyperextended and rotated was postu¬ lated to stretch the RLN and cause torsional injury that is reversible.2 Yamashita et al" described vocal cord paralysis as a direct result of a com¬ pression injury caused by the endotra¬ cheal tube cuff.We present a case of BVCP in which respiratory obstruction followed extu¬ bation. The significance of findings from human adult cadaver RLN dis¬ section in the development of this syndrome is discussed. REPORT OF A CASEA 70-year-old woman with a chief com¬ plaint of epigastric pain and weight loss was admitted for treatment of a gastric outlet obstruction. Her medical history included peptic ulcer disease, which was treated with cimetidine. Physical examina¬ tion showed a mildly obese woman with epigastric tenderness. Although no formal laryngeal examination was performed, the patient was not hoarse and the vocal cords appeared normal at the time of initial intubation.During the operation, general anesthesia was achieved by rapid sequence induction with fentanyl citrate, isoflurane, and nitrous oxide. Intubation was performed easily with a No. 7.5 polyethylene endotra¬ cheal tube, and the cuff was inflated with 8 cm3 of air. An antrectomy and selective bilateral vagotomy were performed with a total operative time of three hours. The patient was extubated in the recovery ...

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A survey of acute complications associated with endotracheal intubation

Cited by 26 publications

References 0 publications

Prevalence and risk factors of complication of endotracheal extubation in teaching hospitals affiliated with Jahrom University of medical science

Prevalence and risk factors of complication of endotracheal extubation in teaching hospitals affiliated with Jahrom University of medical science

Vocal-Cord Paralysis With Endotracheal Intubation

Bilateral Vocal Cord Paralysis Following Endotracheal Intubation

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