계명대학교 의학도서관 Repository

기관내삽관 후 발생한 후두육아종

Metadata Downloads
Author(s)
배정인
Keimyung Author(s)
Bae, Jung In
Department
Dept. of Anesthesiology & Pain Medicine (마취통증의학)
Journal Title
Keimyung Medical Journal
Issued Date
2000
Volume
19
Issue
1
Keyword
Post-intubationComplicationGranuloma.
Abstract
Post-intubation granuloma of the larynx is a rare complication.
Post-intubation granuloma are associated with direct mechanical irritation of laryngeal mucosa from trauma, prolonged period of endotracheal intubation, multiple intubation, endotracheal movement. This study was performed retrospectively to evaluate symptom, location of lesion. treatment and prevention of the intubation granuloma.
The patients aged from 26 to 64 years old. The male to female ratio was 3:12 in favor of female, predominantly female. The location of lesion was bilateral(4 cases) and unilateral(left side 2 cases, right side 9 cases). The clinical symptom was hoarseness and dyspnea. The peak duration between endotracheal intubation and symptom development was 4∼5 weeks. Duration of endotracheal intubation was 1 hour in 2 cases, 1∼3 hours in 9 cases, 3∼6 hours in 1 case, 6∼9 hours in 1 case, more than 3 days in 2 cases. 2 cases were recurred.
To remove post-intubation granuloma of the larynx, all patients were administered triflupro-mazine(VeprinR). nalbuphine hydrochloride and glycopyrrolate intramuscular before anesthe-sia-induction 1 hour for premedication. Induction was established with pentothal sodium and succinylcholine after preoxygenation. N2O/O2(2: 1), enflurane and vecuronium chloride were administered for maintenance. ECG, pulse oximeter and ETCO2 were monitored.
To remove the post-intubation granuloma of the larynx, laryngeal irritation and duration of intubation must be minimized.
Alternative Title
Post-Intubation
Granuloma of the Larynx
Keimyung Author(s)(Kor)
배정인
Publisher
Keimyung University School of Medicine
Citation
배정인. (2000). 기관내삽관 후 발생한 후두육아종. Keimyung Medical Journal, 19(1), 99–106.
Type
Article
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/15189
Appears in Collections:
2. Keimyung Medical Journal (계명의대 학술지) > 2000
1. School of Medicine (의과대학) > Dept. of Anesthesiology & Pain Medicine (마취통증의학)
공개 및 라이선스
  • 공개 구분공개
파일 목록

Items in Repository are protected by copyright, with all rights reserved, unless otherwise indicated.