Accéder au contenu principal
Par

Prolonged hoarseness and arytenoid cartilage dislocation after tracheal intubation


Background Hoarseness is a common complication after tracheal intubation and prolonged hoarseness may be very limiting for a patient. This study was designed to examine the duration of hoarseness after tracheal intubation and to identify risk factors that may increase the duration of hoarseness.
Methods We prospectively studied 3093 adult patients (aged 18–77 yr), over a 3 yr period who required tracheal intubation. Postoperative hoarseness was assessed on the day of operation and on postoperative days 1, 3, and 7 by standardized interview by the resident anaesthetist managing the patient. If postoperative hoarseness was still present on postoperative day 7, the patient was followed up until complete resolution. We evaluated age, gender, weight, Cormack grades, duration of intubation, and the anaesthetic agents used as factors affecting the duration of hoarseness after tracheal intubation.
Results Hoarseness was observed in 49% of patients on the day of surgery and in 29%, 11%, and 0.8% on 1, 3, and 7 postoperative days, respectively. Multiple regression analysis showed that patient age and duration of intubation, but not gender, weight, Cormack grades, or the agents used, were significant predictors of increased duration of hoarseness after tracheal intubation. We found three patients with arytenoid cartilage dislocation (0.097%) in our study population.
Conclusions The age of the patient and duration of intubation were significant factors in the duration of hoarseness after tracheal intubation. In addition, the incidence of arytenoid cartilage dislocation was 0.097%.

Commentaires

Enregistrer un commentaire

Posts les plus consultés de ce blog

HTML5 Games On Android

Par
On my last hollidays, I made two HTML5 games, and published on android market. Nowadays javascript has powerful libraries for doing almost everything, and also there are several compilers from java or c code to javascript, converting opengl c code to html5 canvas, but definitely, javascript execution is slower than dalvik applications, and of course much slower than arm c libs. For improving the speed of sounds and images loader, I have used javascript asynchronous execution and scheduling priority has been controlled with setTimeout/setInterval which deprioritize or priorize a code block. This games are published on the android market here: Android Planets and here: Far Planet Related news Hacker Hardware Tools Pentest Tools Port Scanner Hacker Tools For Mac Tools Used For Hacking Hacker Techniques Tools And Incident Handling Easy Hack Tools Hacking Tools Kit Hacking Tools Usb Hacker Hardware Tools Hacker Tools Hardware Hack Tools For Windows Hacking Tools For G...
Enregistrer un commentaire
Lire la suite

BeEF: Browser Exploitation Framework

Par
"BeEF is the browser exploitation framework. A professional tool to demonstrate the real-time impact of XSS browser vulnerabilities. Development has focused on creating a modular structure making new module development a trivial process with the intelligence residing within BeEF. Current modules include the first public Inter-protocol Exploit, a traditional browser overflow exploit, port scanning, keylogging, clipboard theft and more." read more... Website: http://www.bindshell.net/tools/beef Related links Pentest Automation Tools Ethical Hacker Tools Hacking Tools For Windows Free Download Pentest Reporting Tools Hack Tool Apk No Root Nsa Hack Tools Download Beginner Hacker Tools Hacking Tools For Windows Free Download Hack Tools For Mac Hack Tool Apk No Root Kik Hack Tools Hacking App Pentest Tools List Nsa Hacker Tools Hack Tools Mac Hacking Tools Kit Pentest Tools For Android Hack Tools For Windows Hackrf Tools Tools 4 Hack Hacking Tools Mac Hacking ...
Enregistrer un commentaire
Lire la suite

Abdominal pain after a motor vehicle accident

Par
CASE A 22-year-old man was brought to the ED complaining of abdominal pain after a rollover motor vehicle accident. He was the front seat passenger and was wearing a seat belt. Although he was trapped in the vehicle and it caught on fire, he did not suffer any cutaneous burns. History  The patient's past medical history was significant for attention-deficit hyperactivity disorder. He admitted to using tobacco and alcohol socially, but denied illicit drug use. He denied any medication use or drug allergies. A review of systems was positive for complaints of abdominal pain and anxiety. Physical examination  The patient's vital signs were: BP, 112/51 mm Hg; heart rate, 110 beats/minute; respirations, 23; SpO 2 , 95% on room air; and temperature, 37.4° C (99.3° F). On ED arrival, he was awake, alert, and oriented but appeared anxious and agitated. His pupils were equal, round, and reactive to light. His head was normocephalic with a 2-cm laceration on the left ear. The pati...
Enregistrer un commentaire
Lire la suite