Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2007
Vocal fold immobility following burn intensive care.
Сравнительное исследованиеСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Pfannenstiel Travis J, Gal Thomas J, Hayes David K, Myers Karen V
Аннотация
OBJECTIVE: To evaluate factors associated with the development of vocal fold immobility in patients surviving burn intensive care.
STUDY DESIGN AND SETTING: A retrospective review of patients referred to Department of Speech Pathology by the Burn Intensive Care Unit between June 2002 and November 2004. Patients underwent videostroboscopic examination, and associations of vocal fold immobility with factors related to patient management were examined by using logistic regression.
RESULTS: Vocal fold immobility was diagnosed in 25 (48%) of the 52 patients evaluated. A significant association with a history of intubation during overseas aeromedical evacuation (odds ratio 4.5, P = 0.026) was observed. Multivariate modeling demonstrated an increased risk of 3% for each % total body surface area (TBSA) of burn.
CONCLUSION: High-altitude transport of intubated patients was a significant risk factor in the development of laryngeal injury.
SIGNIFICANCE: This study magnifies the role that endotracheal tube cuff pressure may play in recurrent laryngeal nerve injury.
STUDY DESIGN AND SETTING: A retrospective review of patients referred to Department of Speech Pathology by the Burn Intensive Care Unit between June 2002 and November 2004. Patients underwent videostroboscopic examination, and associations of vocal fold immobility with factors related to patient management were examined by using logistic regression.
RESULTS: Vocal fold immobility was diagnosed in 25 (48%) of the 52 patients evaluated. A significant association with a history of intubation during overseas aeromedical evacuation (odds ratio 4.5, P = 0.026) was observed. Multivariate modeling demonstrated an increased risk of 3% for each % total body surface area (TBSA) of burn.
CONCLUSION: High-altitude transport of intubated patients was a significant risk factor in the development of laryngeal injury.
SIGNIFICANCE: This study magnifies the role that endotracheal tube cuff pressure may play in recurrent laryngeal nerve injury.