Wey W
Schweiz Med Wochenschr. 1985 Feb 9;115(6):194-6.
A general interdisciplinary survey of trends within intensive care units is necessary in order to further reduce the risk of laryngo-tracheal injury requiring treatment after prolonged intubation. Endoscopic controls of the larynx and cervical trachea should be recommended as urgent during long intubations, to ensure that a secondary tracheotomy does not ultimately occur too late. Only a perfectly performed tracheotomy minimises complications (stenoses). Repeated laryngoscopy and endoscopy of the trachea with a fibreoptic system (a few days after extubation) is recommended after every prolonged intubation.
为了进一步降低长时间插管后需要治疗的喉气管损伤风险,有必要对重症监护病房内的趋势进行全面的跨学科调查。对于长时间插管,应建议紧急进行喉镜和颈段气管的内镜检查,以确保气管切开术不会最终实施得太晚。只有完美实施的气管切开术才能将并发症(狭窄)降至最低。建议在每次长时间插管后,使用纤维光学系统(拔管几天后)对气管进行重复喉镜检查和内镜检查。