Article: PDF OnlyLaryngotracheal injury due to endotracheal intubation Incidence, evolution, and predisposing factors. A prospective long-term studyKASTANOS, NIKOS MD; MIRÓ, RAMON ESTOPÁ MD; PEREZ, ALBERTO MARÍN MD; MIR, ANTONIO XAUBET MD; AGUSTÍ-VIDAL, ALBERTO MD Author Information Respiratory Department and Respiratory Intensive Care Unit, Hospital Clinic, Barcelona, Spain. Critical Care Medicine: May 1983 - Volume 11 - Issue 5 - p 362-367 Buy Abstract The purpose of this study was to assess the incidence, evolution and long-term effects of laryngotracheal lesions due to endotracheal intubation and to evaluate the import of factors in the genesis of laryngotracheal injury. Over a 12-month period, we performed fiberoptic bronchoscopy (FBS) in 19 critically ill patients with endotracheal intubation. Early laryngeal lesions, mainly true vocal cord granulomas and ulceration, appeared in 12 (63%) patients and were resolved by the 3rd month in all but 3 patients. In 6 (31%) patients, early tracheal lesions appeared in the form of ring-shaped tracheitis at the cuff level and granulomas at the tube-tip level; in 2 (10%) patients, an established tracheal stenosis developed and early detected ring-shaped tracheitis preceded circumferential fibrous stenosis. Severe respiratory failure, high cuff pressure, and secretion infection showed a statistical correlation to tracheal injury. Copyright © by 1983 by the Society of Critical Care Medicine and Wolters Kluwer Health, Inc. All Rights Reserved.
