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ISSN 0185-3252 (Print)
Revista de la Asociación Médica del Centro Médico ABC

2014, Number 2

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An Med Asoc Med Hosp ABC 2014; 59 (2)

Postextubation complications associated with balloon inflation pressure tube endotracheal

Pomposo EMA, Hurtado RIC, Jiménez RA, Barriga FP, Bravo SJCG

Language: Spanish
References: 16
Page: 115-119
PDF size: 220.82 Kb.


ABSTRACT

Background: Intubation lesions are related to the pressure exerted by the endotracheal cuff in the trachea. Begins with mucosal ischemia, the lesion progresses to congestion, edema and ulceration. In the tracheal mucosal ischemia decreases blood flow due to excessive pressure on the mucosa. Objective:To determine if the pressure balloon endotracheal tube increases the recovery time in patients over 18 years undergoing general anesthesia. Material and methods: Observational, prospective, longitudinal, open, where they studied 131 patients over 18 years undergoing general anesthesia and endotracheal intubation. The pressure measurement was performed at the beginning of anesthesia and before extubation in cmH2O, with follow immediately after surgery, and at 24 hours. Results: We studied 131 patients who presented postoperative pain 31.3% VAS 1, 30.5% VAS 2 and 13% VAS 3. The sore throat was reported in 78.6%, 57.3% postoperative dysphagia, dysphonia and cough 65.6% postoperative 31. 3%. Measuring neumotaponador pressure cuff to onset of anesthesia was 46.78 cmH2O and no changes neumotaponador insufflation pressure cuff were measured before extubation. Conclusion: Endotracheal intubation is a procedure used to maintain general anesthesia and mechanical ventilation, complications of maintaining the high pressure in the endotracheal cuff increases recovery time.


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