AI Article Synopsis
- From July 1975 to September 1979, a study examined 6 patients who underwent prolonged endotracheal intubation, lasting between 55 to 155 days; only those who survived and were later discharged were included.
- Out of the 6 patients, 4 were alive as of November 1980, while 23 others died from unrelated causes; hoarseness was the most common complication, affecting 4 patients.
- Advances in technology, such as biocompatible tubes and improved cuff inflation techniques, have reduced the risks associated with long-term intubation, making complications less frequent but more severe with tracheostomy.
Article Abstract
From July 1975 to September 1979, 6 patients were treated with truly prolonged endotracheal intubation; the duration ranged from 55--155 days. Only patients who survived after extubation and were discharged from the hospital were included in this study. Of the 6 patients, 4 were still alive as of November 1980, 23 patients died from causes not related to the intubation. The most common complication was hoarseness, which occurred in 4 patients. During the time of the study, 3 patients who were intubated in excess of 50 days did not survive. In none of these cases was the patient's death related to the intubation. The authors believe that the risk of long-term intubation has been reduced significantly by the use of nasotracheal tubes and to the newer tube materials, which are completely biocompatible, and to improved techniques of cuff inflation. Complications to tracheostomy are less frequent, but often more serious, than complications of long-term nasotracheal intubation.
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| http://dx.doi.org/10.1097/00003246-198109000-00004 | DOI Listing |
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