High tracheal stenosis due to prolonged intubation
DOI:
https://doi.org/10.56294/hl2024.271Keywords:
Trachea, Postintubation Tracheal Stenosis, Invasive VentilationAbstract
The trachea is a flexible semi-rigid tube extending from the lower edge of the cricoid cartilage, which bifurcates into two main bronchi. It is normally 10-11 cm in length, with variations by age, sex, and race. Post-intubation tracheal stenosis is known as ischemic tracheal stenosis due to scar retraction or deposition of pathological tissue, caused by the mechanical effect on the tracheal mucosa, associated with an irritative, inflammatory, ischemic and sometimes an infectious factor, induced by the endotracheal tube, its tilting movements, the excess pressure of the insufflated balloon, traumatic aspirations, poor handling technique and continuous care of the endotracheal device in an essential way, making this pathology one of the most frequent complications of prolonged intubation, it is considered that approximately 20 % of patients with invasive ventilation may present it
References
1. Allen MS. Surgical anatomy of the trachea. Chest Surgery Clinics of North America 2003;13:191-9. https://doi.org/10.1016/S1052-3359(03)00037-1.
2. Promise Ogolodom M, Ifeoma Okafor J, Nathaniel Mbaba A, Nyenke CU, O. Balogun E, Ron M, et al. Percieved occupational stress and its influences on the mental health of radiography and medical laboratory science lecturers in tertiary institutions in Nigeria. Health Leadership and Quality of Life 2024;3:48. https://doi.org/10.56294/hl202448.
3. Wang X, Yufeng W, Huang X. The effect of education with case-based scenario simulation on interns’ proficiency in cardiopulmonary resuscitation. Salud, Ciencia y Tecnología - Serie de Conferencias 2024;3:1032. https://doi.org/10.56294/sctconf20241032.
4. Grillo HC, Donahue DM, Mathisen DJ, Wain JC, Wright CD. Postintubation tracheal stenosis. The Journal of Thoracic and Cardiovascular Surgery 1995;109:486-93. https://doi.org/10.1016/S0022-5223(95)70279-2.
5. Fuentes Valdés E, Martín González MA, Pérez J, Placeres ZA. Estoma traqueal persistente en pacientes tratados con tubo en T por estenosis traqueal isquémica. Revista Cubana de Cirugía 2015;54:18-24.
6. Wain JC. Postintubation tracheal stenosis. Chest Surgery Clinics 2003;13:231-46. https://doi.org/10.1016/S1052-3359(03)00034-6.
7. Grillo HC. Lesiones congénitas, neoplasias y traumatismos de la tráquea. La Habana, Cuba.: Editorial Científico-Técnica; 1984.
8. Erhan SS, Keser SH, Sensu S, Altiok DK, Sari B, Alemdar A. Nightmare of a pathologist: Metastatic adenocarcinoma from breast to gastrointestinal system and gallbladder. Annals of Medical Research 2022;29:169-75.
9. García Estrada Il, Jiménez González W, Machín González VV, Madrigal G. Tratamiento de la estenosis traqueal isquémica con Nd-YAG láser. Revista Cubana de Cirugía 2012;51:318-25.
10. Tarrazona V, Paris F. Cirugía de la tráquea. Barcelona, España: Balibrea Cantero; 1988.
11. Soneira Pérez J, Diaz Lara Y, Auza-Santivañez JC, Santos Moreira JY, Pérez O’Farrill SN, Callizaya Macedo G. Acute unilateral lung injury secondary to lung reexpansion. Case report. SCT Proceedings in Interdisciplinary Insights and Innovations 2024;2:344. https://doi.org/10.56294/piii2024344.
12. Rodríguez Pinedo S, Mauricio Esteban C. Nursing care in pediatric tracheostomized patients: a knowledge challenge for these professionals. Literature review. Multidisciplinar (Montevideo) 2024;2:101. https://doi.org/10.62486/agmu2024101.
13. Couraud L, Jougon JB, Velly J-F. Surgical treatment of nontumoral stenoses of the upper airway. The Annals of Thoracic Surgery 1995;60:250-60. https://doi.org/10.1016/0003-4975(95)00464-V.
14. Debais M, Vilas G, Boccia CM, Isidoro R. Repermeabilización de la vía aérea con prótesis traqueobronquiales: 300 casos. Revista americana de medicina respiratoria 2012;12:38-43.
15. Horta Baas G, Hernández-Cabrera MF, Catana R, Pérez Cristóbal M, Barile Fabris LA. Estenosis subglótica en granulomatosis con poliangitis (granulomatosis de Wegener): presentación de 4 casos. Reumatología clínica 2016;12:267-73.
16. Meraldi A, Bosio M, Campos J, Décima T, Quadrelli S, Borsini E. Estenosis subglótica idiopática, reporte de un caso. Revista americana de medicina respiratoria 2014;14:323-7.
17. Contreras R JM, Paredes W A, Niklas D L, Lu C, Contreras R P. Estenosis laringotraqueal: Experiencia clínica. Rev Otorrinolaringol Cir Cabeza Cuello 2011;71:107-16. https://doi.org/10.4067/S0718-48162011000200002.
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Copyright (c) 2024 Rolando Zayas Acosta, Eduardo Dopico Reyes, Nirtia Rodríguez Ramos, Danyar Liset Jiménez Fajardo, María de Jesús de la Cruz Lopez (Author)
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