Tracheal Injuries Complicating Prolonged Intubation and

Thoracic surgery clinics · May 2018

Review Historical Article

Tracheal Injuries Complicating Prolonged Intubation and Tracheostomy.

Respiratory care advances such as the introduction of ventilatory assistance have been associated with postintubation airway stenosis resulting from tracheal injury at the site of the inflatable cuff on endotracheal or tracheostomy tubes. Low-pressure cuffs have significantly reduced this occurrence. ⋯ Subglottic stenosis may result from a high tracheostomy site at, or just inferior to, the cricoid arch, or to malposition of an endotracheal tube cuff. Awareness of these complications and their causes is essential to prevent their occurrence.

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- Joel D Cooper.
- Department of Surgery, Division of Thoracic Surgery, Hospital of the University of Pennsylvania, University of Pennsylvania, 3400 Spruce Street, White 6, Philadelphia, PA 19104, USA. Electronic address: joel.cooper@uphs.upenn.edu.
- Thorac Surg Clin. 2018 May 1; 28 (2): 139-144.
AbstractRespiratory care advances such as the introduction of ventilatory assistance have been associated with postintubation airway stenosis resulting from tracheal injury at the site of the inflatable cuff on endotracheal or tracheostomy tubes. Low-pressure cuffs have significantly reduced this occurrence. Loss of airway stability at the site of a tracheostomy stoma may result in tracheal stenosis. Subglottic stenosis may result from a high tracheostomy site at, or just inferior to, the cricoid arch, or to malposition of an endotracheal tube cuff. Awareness of these complications and their causes is essential to prevent their occurrence.Copyright © 2018 Elsevier Inc. All rights reserved.

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Tracheal Injuries Complicating Prolonged Intubation and Tracheostomy.

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