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Vol. 12. Issue 3.
Pages 108-110 (July - September 1976)
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Vol. 12. Issue 3.
Pages 108-110 (July - September 1976)
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Control mediante el broncofibroscopio del arbol traqueobronquial en pacientes con intubacion
Control by bronchofibroscopy of the tracheobronchial tree in patients with intubation
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F. de la Calle del Moral, A. Ladaria Ferrer, A. Alarcón Zurita, C. Pizá Buñola, R. Pérez Sotelo
Residencia Sanitaria de la S. S. Virgen de Lluch Palma de Mallorca. Servicio de Medicina Interna
S. García Moris
Servicio de Cuidados Intensivos
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Resumen

Se ha realizado, en veinte pacientes con intubación oro o nasotraqueal, exploración mediante el broncofibroscopio del árbol tráqueo-bronquial. Se exploraron inicialmente a las 24 horas de la intubación, a las 48 horas y siguientes. Se hallaron evidentes alteraciones en distintos niveles consistentes en hemorragias, erosiones ya desde el primer día. Las mayores alteraciones fueron encontradas en la zona del globo fijador.

Summary

Exploration by bronchofibroscopy of the tracheobronchial tree was carried out in twenty patients with oro or nasotracheal intubation. Explorations were made initially at 24 hours of the intubation, at 48 hours and so on. From the first day evident alterations at different levels consisting in hemorrhages, erosions were found. The greatest alerations were found in the zone of the fixing globus.

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Bibliografia
[1.]
W.H. Donnelly.
Histopathology of endotracheal damage: An sutopsy study of 99 cases.
Arch. Path. (Chicago), 88 (1969), pp. 511
[2.]
J. Pilcher.
Prolonged orotracheal intubation without tracheostomy for respiratory failure.
Brit. J. Dis. Chest., 61 (1967), pp. 95
[3.]
H.R.S. Harley.
Laringotracheal obstruction complicating tracheostomy or endotracheal intubation with assisted respiration.
Thorax., 26 (1971), pp. 493
[4.]
J. Landa, B. Amikan, M.A. Sackner.
Pathogcnesis and preventton of tracheobronchial erosions ocurring suclion.
Ain. Rev. Rcsp. Dis., 103 (1970), pp. 875
[5.]
A. Vanner, A. Zighelborm, M.A. Sackner.
Nasopharyngeal airway: A facilitated access to the trachea; for nasotracheal suction, bedside bronchofiberscopy and selective bronchography.
Ann. Intern. Med., 75 (1971), pp. 593
[6.]
B. Amikan, J. Landa, J. West, M.A. Sackner.
Bronchofiberscopic observations of the tracheobronchial tree during intubation.
Am. Rev. Resp. Dis., 105 (1972), pp. 747
[7.]
J.J. Debain, G. Freyss, A. Amsaleg.
L’intubation laryngo-trachéale prolongée, complications et séquelles.
Cahiers d’otorhino-laringologie., 5 (1970), pp. 13
[8.]
C.E. Lindholm.
Prolongad endotracheal intubation.
Acta. Amesth. Scand, 33 (1969), pp. 133
[9.]
R. Carroll, M. Hedden, P. Safar.
Intratracheal cuffs: Performance characteristics.
Anesthesiology, 31 (1969), pp. 275
Copyright © 1976. Sociedad Española de Neumología y Cirugía Torácica
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