Skip to main content
Erschienen in: Indian Journal of Otolaryngology and Head & Neck Surgery 4/2023

11.05.2023 | Original Article

Incidence of Airway Complications in ICU

verfasst von: Mahmoud Ahmed Shawky, Mohamed Ahmed Shawky, Nada Zakaria Zakaria

Erschienen in: Indian Journal of Otolaryngology and Head & Neck Surgery | Ausgabe 4/2023

Einloggen, um Zugang zu erhalten

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.
Literatur
1.
Zurück zum Zitat Casey DF (2020) Tracheal intubation. In: Fowler GC (ed) Pfenninger and fowler’s procedures for primary care, 4th edn. Elsevier, Philadelphia Casey DF (2020) Tracheal intubation. In: Fowler GC (ed) Pfenninger and fowler’s procedures for primary care, 4th edn. Elsevier, Philadelphia
2.
Zurück zum Zitat Driver BE, Reardon RF (2019) Tracheal intubation. In: Roberts JR, Custalow CB, Thomsen TW (eds) Roberts and Hedges’ clinical procedures in emergency medicine and acute care, 7th edn. Elsevier, Philadelphia Driver BE, Reardon RF (2019) Tracheal intubation. In: Roberts JR, Custalow CB, Thomsen TW (eds) Roberts and Hedges’ clinical procedures in emergency medicine and acute care, 7th edn. Elsevier, Philadelphia
3.
Zurück zum Zitat Hartman ME, Cheifetz IM (2020) Pediatric emergencies and resuscitation. In: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson textbook of pediatrics. 21st ed. Philadelphia: Elsevier Hartman ME, Cheifetz IM (2020) Pediatric emergencies and resuscitation. In: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson textbook of pediatrics. 21st ed. Philadelphia: Elsevier
4.
5.
Zurück zum Zitat Amr N, Samy A, ABD EL-AZIZ A, (2018) Voice disorders after intubation: the importance of intra-operative monitoring and controlling of endo-tracheal tube cuff pressure in reducing intubation-related complications. Med J Cairo Univ 86(5):2849–2860 Amr N, Samy A, ABD EL-AZIZ A, (2018) Voice disorders after intubation: the importance of intra-operative monitoring and controlling of endo-tracheal tube cuff pressure in reducing intubation-related complications. Med J Cairo Univ 86(5):2849–2860
6.
Zurück zum Zitat Kiran S, Tandon U, Dwivedi D, Kumar R (2016) Prolonged hoarseness following endotracheal intubation - not so uncommon? Indian J Anaesth 60(8):605–606CrossRefPubMedPubMedCentral Kiran S, Tandon U, Dwivedi D, Kumar R (2016) Prolonged hoarseness following endotracheal intubation - not so uncommon? Indian J Anaesth 60(8):605–606CrossRefPubMedPubMedCentral
7.
Zurück zum Zitat Frosolini A, Marioni G, Maiolino L, de Filippis C, Lovato A (2020) Current management of arytenoid sub-luxation and dislocation. Eur Arch Otorhinolaryngol 277(11):2977–2986CrossRefPubMed Frosolini A, Marioni G, Maiolino L, de Filippis C, Lovato A (2020) Current management of arytenoid sub-luxation and dislocation. Eur Arch Otorhinolaryngol 277(11):2977–2986CrossRefPubMed
8.
Zurück zum Zitat Oh TK, Yun J-Y, Ryu CH, Park YN, Kim NW (2016) Arytenoid dislocation after uneventful endotracheal intubation: a case report. Korean J Anesthesiol 69(1):93–96CrossRefPubMedPubMedCentral Oh TK, Yun J-Y, Ryu CH, Park YN, Kim NW (2016) Arytenoid dislocation after uneventful endotracheal intubation: a case report. Korean J Anesthesiol 69(1):93–96CrossRefPubMedPubMedCentral
9.
Zurück zum Zitat Lou Z, Yu X, Li Y, Duan H, Zhang P, Lin Z (2018) BMI may Be the risk factor for arytenoid dislocation caused by endotracheal intubation: a retrospective case-control study. J Voice 32(2):221–225CrossRefPubMed Lou Z, Yu X, Li Y, Duan H, Zhang P, Lin Z (2018) BMI may Be the risk factor for arytenoid dislocation caused by endotracheal intubation: a retrospective case-control study. J Voice 32(2):221–225CrossRefPubMed
10.
Zurück zum Zitat Leelamanit V, Sinkijcharoenchai W (2012) A promising new technique for closed reduction of arytenoid dislocation. J Laryngol Otol 126(2):168–174CrossRefPubMed Leelamanit V, Sinkijcharoenchai W (2012) A promising new technique for closed reduction of arytenoid dislocation. J Laryngol Otol 126(2):168–174CrossRefPubMed
11.
Zurück zum Zitat Lee SW, Park KN, Welham NV (2014) Clinical features and surgical outcomes following closed reduction of arytenoid dislocation. JAMA Otolaryngol Head Neck Surg 140(11):1045–1050CrossRefPubMedPubMedCentral Lee SW, Park KN, Welham NV (2014) Clinical features and surgical outcomes following closed reduction of arytenoid dislocation. JAMA Otolaryngol Head Neck Surg 140(11):1045–1050CrossRefPubMedPubMedCentral
12.
Zurück zum Zitat Warner ME, Benenfeld SM, Warner MA, Schroeder DR, Maxson PM (1999) Perianesthetic dental injuries: frequency, outcomes, and risk factors. Anesthesiology 90(5):1302–1305CrossRefPubMed Warner ME, Benenfeld SM, Warner MA, Schroeder DR, Maxson PM (1999) Perianesthetic dental injuries: frequency, outcomes, and risk factors. Anesthesiology 90(5):1302–1305CrossRefPubMed
13.
Zurück zum Zitat Kumar A, Khanna S, Mehta Y (2018) An incidental finding of endotracheal tube obstruction at the level where inflation line enters into the tube. J Anaesthesiol Clin Pharmacol 34(3):417–418CrossRefPubMedPubMedCentral Kumar A, Khanna S, Mehta Y (2018) An incidental finding of endotracheal tube obstruction at the level where inflation line enters into the tube. J Anaesthesiol Clin Pharmacol 34(3):417–418CrossRefPubMedPubMedCentral
14.
Zurück zum Zitat Choi YH, Lee DH (2018) A rare airway obstruction caused by dissection of a reinforced endotracheal tube. J Emerg Med 54(4):e73–e75CrossRefPubMed Choi YH, Lee DH (2018) A rare airway obstruction caused by dissection of a reinforced endotracheal tube. J Emerg Med 54(4):e73–e75CrossRefPubMed
15.
Zurück zum Zitat Campbell BR, Shinn JR, Kimura KS et al (2020) Unilateral vocal fold immobility after prolonged endotracheal intubation. JAMA Otolaryngol Head Neck Surg 146(2):160–167CrossRefPubMed Campbell BR, Shinn JR, Kimura KS et al (2020) Unilateral vocal fold immobility after prolonged endotracheal intubation. JAMA Otolaryngol Head Neck Surg 146(2):160–167CrossRefPubMed
16.
Zurück zum Zitat Taşlı H, Kara U, Gökgöz MC, Aydın Ü (2017) Vocal cord paralysis following endotracheal intubation. Turk J Anaesthesiol Reanim 45(5):321–322CrossRefPubMedPubMedCentral Taşlı H, Kara U, Gökgöz MC, Aydın Ü (2017) Vocal cord paralysis following endotracheal intubation. Turk J Anaesthesiol Reanim 45(5):321–322CrossRefPubMedPubMedCentral
17.
Zurück zum Zitat Hurtado Nazal C, Araneda Vilches A, Vergara Marín C, García Contreras K, Napolitano Valenzuela C, Badía VP (2018) Vocal cord paralysis after endotracheal intubation: an uncommon complication of general anesthesia [in Portuguese]. Rev Bras Anestesiol 68(6):637–640CrossRef Hurtado Nazal C, Araneda Vilches A, Vergara Marín C, García Contreras K, Napolitano Valenzuela C, Badía VP (2018) Vocal cord paralysis after endotracheal intubation: an uncommon complication of general anesthesia [in Portuguese]. Rev Bras Anestesiol 68(6):637–640CrossRef
18.
Zurück zum Zitat Mussa CC, Meksraityte E, Li J, Gulczynski B, Liu J, Kuruc A (2018) Factors associated with endotracheal tube related pressure injury. SM J Nurs 4:1018CrossRef Mussa CC, Meksraityte E, Li J, Gulczynski B, Liu J, Kuruc A (2018) Factors associated with endotracheal tube related pressure injury. SM J Nurs 4:1018CrossRef
19.
Zurück zum Zitat Rastogi V, Layon AJ (2021) Endotracheal tube fastening device-related facial pressure ulcers. Cureus 13(7):e16796PubMedPubMedCentral Rastogi V, Layon AJ (2021) Endotracheal tube fastening device-related facial pressure ulcers. Cureus 13(7):e16796PubMedPubMedCentral
20.
Zurück zum Zitat Shearer SC, Parsa KM, Newark A et al (2021) Facial pressure injuries from prone positioning in the COVID-19 Era. Laryngoscope 131:42CrossRef Shearer SC, Parsa KM, Newark A et al (2021) Facial pressure injuries from prone positioning in the COVID-19 Era. Laryngoscope 131:42CrossRef
21.
Zurück zum Zitat Huyett P, Lee S, Ferguson BJ, Wang EW (2016) Sinus opacification in the intensive care unit patient. Laryngoscope 126:2433CrossRefPubMed Huyett P, Lee S, Ferguson BJ, Wang EW (2016) Sinus opacification in the intensive care unit patient. Laryngoscope 126:2433CrossRefPubMed
22.
Zurück zum Zitat Rouby J, Laurent P, Gosnach M et al (1994) Risk factors and clinical relevance of nosocomial maxillary sinusitis in the critically ill. Am J Respir Crit Care Med 150:776–784CrossRefPubMed Rouby J, Laurent P, Gosnach M et al (1994) Risk factors and clinical relevance of nosocomial maxillary sinusitis in the critically ill. Am J Respir Crit Care Med 150:776–784CrossRefPubMed
23.
Zurück zum Zitat Stein M, Caplan ES (2005) Nosocomial sinusitis: a unique subset of sinusitis. Curr Opin Infect Dis 18:147–150CrossRefPubMed Stein M, Caplan ES (2005) Nosocomial sinusitis: a unique subset of sinusitis. Curr Opin Infect Dis 18:147–150CrossRefPubMed
24.
Zurück zum Zitat Kalil AC, Metersky ML, Klompas M, Muscedere J, Sweeney DA, Palmer LB et al (2016) Management of adults with hospital-acquired and ventilator-associated pneumonia: 2016 clinical practice guidelines by the infectious diseases society of America and the American thoracic society. Clin Infect Dis 63(5):e61–e111CrossRefPubMedPubMedCentral Kalil AC, Metersky ML, Klompas M, Muscedere J, Sweeney DA, Palmer LB et al (2016) Management of adults with hospital-acquired and ventilator-associated pneumonia: 2016 clinical practice guidelines by the infectious diseases society of America and the American thoracic society. Clin Infect Dis 63(5):e61–e111CrossRefPubMedPubMedCentral
25.
Zurück zum Zitat Silva ARAD, Silva TCD, Bom GJT, Vasconcelos RMB, Junior RS (2018) Ventilator-associated pneumonia agents in Brazilian neonatal intensive care units - a systematic review. Braz J Infect Dis 22(4):338–344CrossRefPubMedPubMedCentral Silva ARAD, Silva TCD, Bom GJT, Vasconcelos RMB, Junior RS (2018) Ventilator-associated pneumonia agents in Brazilian neonatal intensive care units - a systematic review. Braz J Infect Dis 22(4):338–344CrossRefPubMedPubMedCentral
26.
Zurück zum Zitat Watson K, Heales LJ, Fernando J, Reoch J, Tan E, Smith K, Austin D, Divanoglou A (2018) Incidence and characteristics of ventilator-associated pneumonia in a regional non-tertiary Australian intensive care unit: protocol for a retrospective clinical audit study. BMJ Open 8(9):e021733CrossRefPubMedPubMedCentral Watson K, Heales LJ, Fernando J, Reoch J, Tan E, Smith K, Austin D, Divanoglou A (2018) Incidence and characteristics of ventilator-associated pneumonia in a regional non-tertiary Australian intensive care unit: protocol for a retrospective clinical audit study. BMJ Open 8(9):e021733CrossRefPubMedPubMedCentral
29.
Zurück zum Zitat Greaney D, Russell J, Dawkins I et al (2018) A retrospective observational study of acquired subglottic stenosis using low-pressure, high-volume cuffed endotracheal tubes. Pediatr Anesth 28:1136–1141CrossRef Greaney D, Russell J, Dawkins I et al (2018) A retrospective observational study of acquired subglottic stenosis using low-pressure, high-volume cuffed endotracheal tubes. Pediatr Anesth 28:1136–1141CrossRef
31.
Zurück zum Zitat Plojoux J, Laroumagne S, Vandemoortele T, Astoul PJ, Thomas PA, Dutau H (2015) Management of benign dynamic “A-shape” tracheal stenosis: a retrospective study of 60 patients. Ann Thorac Surg 99(2):447–453CrossRefPubMed Plojoux J, Laroumagne S, Vandemoortele T, Astoul PJ, Thomas PA, Dutau H (2015) Management of benign dynamic “A-shape” tracheal stenosis: a retrospective study of 60 patients. Ann Thorac Surg 99(2):447–453CrossRefPubMed
32.
Zurück zum Zitat Ernst A, Herth FJ (2013) Principles and practice of interventional pulmonology. Springer, New YorkCrossRef Ernst A, Herth FJ (2013) Principles and practice of interventional pulmonology. Springer, New YorkCrossRef
33.
Zurück zum Zitat Li J, Gao X, Chen J, Lao M, Wang S, Zeng G (2015) Endoscopic closure of acquired oesophagorespiratory fistulas with cardiac septal defect occluders or vascular plugs. Respir Med 109(8):1069–1078 (Epub 2015 May 5)CrossRefPubMed Li J, Gao X, Chen J, Lao M, Wang S, Zeng G (2015) Endoscopic closure of acquired oesophagorespiratory fistulas with cardiac septal defect occluders or vascular plugs. Respir Med 109(8):1069–1078 (Epub 2015 May 5)CrossRefPubMed
34.
Zurück zum Zitat Erdim I, Sirin AA, Baykal B, Oghan F, Guvey A, Kayhan FT (2017) Treatment of large persistent tracheoesophageal peristomal fistulas using silicon rings. Brazilian J Otorhinolaryngol Sep-Oct 83(5):536–540CrossRef Erdim I, Sirin AA, Baykal B, Oghan F, Guvey A, Kayhan FT (2017) Treatment of large persistent tracheoesophageal peristomal fistulas using silicon rings. Brazilian J Otorhinolaryngol Sep-Oct 83(5):536–540CrossRef
35.
Zurück zum Zitat Vorakunthada Y, Lilitwat W (2018) Post-intubation tracheobronchomalacia in a young adult: a rare case report. Respir Med Case Rep 23:66–67PubMed Vorakunthada Y, Lilitwat W (2018) Post-intubation tracheobronchomalacia in a young adult: a rare case report. Respir Med Case Rep 23:66–67PubMed
36.
Zurück zum Zitat Buitrago Daniel H, Wilson Jenifer L, Mihir P, Adnan M, Gangadharan Sidhu P (2017) Current concepts in severe adult tracheobronchomalacia: evaluation and treatment. J Thorac Dis 9(1):E57–E66CrossRefPubMedPubMedCentral Buitrago Daniel H, Wilson Jenifer L, Mihir P, Adnan M, Gangadharan Sidhu P (2017) Current concepts in severe adult tracheobronchomalacia: evaluation and treatment. J Thorac Dis 9(1):E57–E66CrossRefPubMedPubMedCentral
37.
Zurück zum Zitat Majid A, Gaurav K, Sanchez JM et al (2014) Evaluation of tracheobronchomalacia by dynamic flexible bronchoscopy. A pilot study. Annal Am Thoracic Soc 11:951–955CrossRef Majid A, Gaurav K, Sanchez JM et al (2014) Evaluation of tracheobronchomalacia by dynamic flexible bronchoscopy. A pilot study. Annal Am Thoracic Soc 11:951–955CrossRef
38.
Zurück zum Zitat Lizy C, Swinnen W, Labeau S et al (2014) Cuff pressure of endotracheal tubes after changes in body position in critically ill patients treated with mechanical ventilation. Am J Crit Care 23:e1CrossRefPubMed Lizy C, Swinnen W, Labeau S et al (2014) Cuff pressure of endotracheal tubes after changes in body position in critically ill patients treated with mechanical ventilation. Am J Crit Care 23:e1CrossRefPubMed
39.
Zurück zum Zitat American thoracic society, infectious diseases society of America (2005) Guidelines for the management of adults with hospital-acquired, ventilator-associated, and healthcare-associated pneumonia. Am J Respir Crit Care Med 171(4):388–416. https://doi.org/10.1164/rccm.200405-644ST American thoracic society, infectious diseases society of America (2005) Guidelines for the management of adults with hospital-acquired, ventilator-associated, and healthcare-associated pneumonia. Am J Respir Crit Care Med 171(4):388–416. https://​doi.​org/​10.​1164/​rccm.​200405-644ST
40.
Zurück zum Zitat Efrati S, Leonov Y, Oron A et al (2005) Optimization of endotracheal tube cuff filling by continuous upper airway carbon dioxide monitoring. Anesth Analg 101:1081CrossRefPubMed Efrati S, Leonov Y, Oron A et al (2005) Optimization of endotracheal tube cuff filling by continuous upper airway carbon dioxide monitoring. Anesth Analg 101:1081CrossRefPubMed
Metadaten
Titel
Incidence of Airway Complications in ICU
verfasst von
Mahmoud Ahmed Shawky
Mohamed Ahmed Shawky
Nada Zakaria Zakaria
Publikationsdatum
11.05.2023
Verlag
Springer India
Erschienen in
Indian Journal of Otolaryngology and Head & Neck Surgery / Ausgabe 4/2023
Print ISSN: 2231-3796
Elektronische ISSN: 0973-7707
DOI
https://doi.org/10.1007/s12070-023-03850-x

Weitere Artikel der Ausgabe 4/2023

Indian Journal of Otolaryngology and Head & Neck Surgery 4/2023 Zur Ausgabe

Erhebliches Risiko für Kehlkopfkrebs bei mäßiger Dysplasie

29.05.2024 Larynxkarzinom Nachrichten

Fast ein Viertel der Personen mit mäßig dysplastischen Stimmlippenläsionen entwickelt einen Kehlkopftumor. Solche Personen benötigen daher eine besonders enge ärztliche Überwachung.

Hörschwäche erhöht Demenzrisiko unabhängig von Beta-Amyloid

29.05.2024 Hörstörungen Nachrichten

Hört jemand im Alter schlecht, nimmt das Hirn- und Hippocampusvolumen besonders schnell ab, was auch mit einem beschleunigten kognitiven Abbau einhergeht. Und diese Prozesse scheinen sich unabhängig von der Amyloidablagerung zu ereignen.

„Übersichtlicher Wegweiser“: Lauterbachs umstrittener Klinik-Atlas ist online

17.05.2024 Klinik aktuell Nachrichten

Sie sei „ethisch geboten“, meint Gesundheitsminister Karl Lauterbach: mehr Transparenz über die Qualität von Klinikbehandlungen. Um sie abzubilden, lässt er gegen den Widerstand vieler Länder einen virtuellen Klinik-Atlas freischalten.

Betalaktam-Allergie: praxisnahes Vorgehen beim Delabeling

16.05.2024 Pädiatrische Allergologie Nachrichten

Die große Mehrheit der vermeintlichen Penicillinallergien sind keine. Da das „Etikett“ Betalaktam-Allergie oft schon in der Kindheit erworben wird, kann ein frühzeitiges Delabeling lebenslange Vorteile bringen. Ein Team von Pädiaterinnen und Pädiatern aus Kanada stellt vor, wie sie dabei vorgehen.

Update HNO

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.