Uzun süreli entübasyon yapılmış hastalarda laringofaringeal etkilerin değerlendirilmesi

Yıl 2018, , 131 - 136, 18.07.2018

Eda Şimşek , Ziya Şimşek , Eyüp Serhat Çalık , Fatih Bingöl Ayşe Çarlıoğlu , Muhammed Recai Mazlumoğlu Enise Koza Bilgehan Erkut

https://doi.org/10.18663/tjcl.382946

Öz

Amaç,:
Açık kardiyovasküler cerrahiler hem operasyon süresi hem de postoperatif yoğun
bakımda takip süresi göz önüne alındığında entübasyon süresinin uzun olduğu
bilinen ameliyatlardır. Biz bu çalışmada koroner cerrahisi sonrası uzun süre entübe kalmış hastalarda
postoperatif dönemde gözlenen laringeal ve faringeal etkilenmeyi incelemek ve
bu etkilerin oluşumuna zemin hazırlayan olası nedenleri araştırmayı amaçladık.

Materyal ve Metodlar: Çalışmaya
kardiyovasküler cerrahi yapılan toplam 42 hasta dahil edildi. Tüm hastalar
preoperatif (preop) dönemde ve postoperatif dönemde (ortalama 7.gün) endoskopik
muayene edildi ve muayene bulguları kaydedildi.

Bulgular: Hastalar
ortalama 61±9.98 yaşında, ortalama entübe kalma süresi 14.80±3.41saat,
kullanılan entübasyon tüpünün iç çapı 8.02±0.4 mm idi. Preoperatif sigara içen
hasta sayısı 25 (%59.52) ve preoperatif gastroözofageal reflü semptomu olan
hasta sayısı 8 (% 19.04 ). Postoperatiflaringeal ve faringeal patolojik bulgu
oranı %38.09 bulundu. Postoperatif laringeal ve faringeal patolojik bulgu olan
hastalarda yaş, entübasyon süresi, preoperatif gastroözofageal reflü hastalığı
şikayeti arasındaki ilişki isitatiksel açıdan anlamlı bulundu (p˂0,05).Ancak postoperatif
patolojik bulgu ile cinsiyet, entübasyon tüpünün tipi ve çapı, sigara kullanma arasında anlamlı ilişki bulunmadı.

Sonuç:
Yaş, gastroözofageal
reflü hastalığı varlığı, entübasyon süresinin uzunluğu postoperatif laringofaringeal
bulgu oluşumu için risk faktörü olarak tespit edildi.

Anahtar Kelimeler

Endotrakeal entübasyon, larinks, farinks, koroner cerrahi

Evaluation of laryngopharyngeal effects in patients long-term intubated

Öz

Aim:
Open
cardiovascular surgery involves prolonged intubation, postoperatively in the
intensive care unit monitoring. The purpose of this study was to investigate the
effects of long-term intubation after coronary artery surgery on laryngeal and
pharyngeal structures and the probable underlying causes for such effects.

Material
and Methods: Forty two
patients undergoing cardiovascular surgery were included in the study. All
patients underwent endoscopic examination in the preoperative period and approximately
7th postoperative day.

Results:
Mean age of the
patients was 61±9.98 years, mean duration of intubation was 14.80±3.41 hours
(h) and mean size of intubation tube used was 8.02±0.45 mm. The number of
preoperative smokers was 25(59.52%), and number of patients with preoperative
gastroesophageal reflux disease symptoms were 8(19.04%). The level of
postoperative laryngeal and pharyngeal pathological findings were 38.09%.
Postoperative laryngeal and pharyngeal pathological findings were correlated
with age, length of intubation and preoperative presence of the
gastroesophageal reflux disease symptoms (p˂0.05). However, no statistically
significant correlation was determined between postoperative pathological
finding and sex, tube type, tube diameter, smoking status.

Conclusion:
Age, presence of
gastroesophageal reflux disease, length of intubation were identified as risk
factors for the development of postoperative pathological laryngopharyngeal
findings. 

Anahtar Kelimeler

Endotracheal intubation, larynx, pharynx, coronary surgery

Kaynakça

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