気管内挿管麻酔による気道障害に関する臨床的研究 (原田康夫教授開講3周年記念論文集<特集>)
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概要
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Endotracheal intubation provides an excellent method of controlling the patient's airway during anesthesia. This technique is also very useful in the case of reanimation and in other kinds of operations. However, we have occasionally experienced various complications as a result of the endotracheal intubation using a cuffed tube. In our clinic, such complications as sore throat, vocal cord paralysis, intubation granuloma and membraneous tracheitis have been experienced.In this report, we evaluated three kinds of complications due to the endotracheal intubations. The complications evaluated included 39 cases of recurrent nerve palsy, 4 cases of laryngeal granuloma and 7 cases of membraneous tracheitis. The three most common cases of those complications were an imappropriate tube size, an over-inflated cuff and/or a prolonged intubation.In addition, some specimens were studied by using the scanning electron microscope and results obtained were compared to the clinical complications.
- 耳鼻咽喉科臨床学会の論文