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重症监护病房气道并发症的发生率

Incidence of Airway Complications in ICU.

作者信息

Shawky Mahmoud Ahmed, Shawky Mohamed Ahmed, Zakaria Zakaria Nada

机构信息

Al-Azhar University, New Damietta, Egypt.

Damietta University, Damietta, Egypt.

出版信息

Indian J Otolaryngol Head Neck Surg. 2023 Dec;75(4):2752-2759. doi: 10.1007/s12070-023-03850-x. Epub 2023 May 11.

Abstract

To show the incidence of airway complications in ICU. Endotracheal intubation is an essential skill performed by multiple medical specialists to secure a patient's airway as well as provide oxygenation and ventilation through the oral route or nose. The goal of endotracheal intubation in the emergency setting is to secure the patient's airway and obtain first-pass success. There are many indications for endotracheal intubation, including poor respiratory drive, questionable airway patency, hypoxia, and Hypercapnia. These indications are assessed by evaluating the patient's mental status, conditions that may compromise the airway, level of consciousness, respiratory rate, respiratory acidosis, and level of oxygenation. In the setting of trauma, a Glasgow Coma Scale of 8 or less is generally an indication for intubation. There are many different complications of intubation as hoarseness of voice, dental injuries, arytenoid dislocation, laryngeal stenosis, tracheal stenosis and tracheomalacia. . 150 patients who were sat in the ICU that developed certain complications. 86 patients (57.3%) were sitting in the ICU develoed certain complications. Liver diseases were the main cause of ICU admission 34 (22.7%) patients then shock 32 (21.3%) patients. Blockage of endotracheal tube was the main ICU complications 18 (12%) patients then sinusitis 16 (10.7%) patients. Endotracheal intubation is a lifesaving procedure and its complications are significant problems in ICUs. A successful procedure of intubation avoids complications. Skilled endotracheal intubation in the ICU decreases the complications.

摘要

为了显示重症监护病房(ICU)中气道并发症的发生率。气管插管是多项医学专业人员执行的一项重要技能,用于确保患者气道安全,并通过口腔或鼻腔途径提供氧合和通气。急诊情况下气管插管的目标是确保患者气道安全并一次成功。气管插管有许多适应证,包括呼吸驱动力差、气道通畅性存疑、缺氧和高碳酸血症。这些适应证通过评估患者的精神状态、可能影响气道的状况、意识水平、呼吸频率、呼吸性酸中毒和氧合水平来判断。在创伤情况下,格拉斯哥昏迷评分8分及以下通常是插管的指征。插管有许多不同的并发症,如声音嘶哑、牙齿损伤、杓状软骨脱位、喉狭窄、气管狭窄和气管软化。150名入住ICU的患者出现了某些并发症。86名患者(57.3%)在ICU出现了某些并发症。肝脏疾病是入住ICU的主要原因,有34名(22.7%)患者,其次是休克患者32名(21.3%)。气管导管堵塞是ICU的主要并发症,有18名(12%)患者,其次是鼻窦炎患者16名(10.7%)。气管插管是一项挽救生命的操作,其并发症是ICU中的重大问题。成功的插管操作可避免并发症。在ICU熟练进行气管插管可减少并发症。

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