Morphologic trachea alterations in intubated patients in function of intubation time

Authors

  • Pedro Marco Karan Barbosa Faculdade de Medicina de Marília
  • Branca Maria de Oliveira Santos Universidade de São Paulo; Escola de Enfermagem de Ribeirão Preto

DOI:

https://doi.org/10.1590/S0104-11692003000600005

Keywords:

intratracheal intubation, complications, air pressure

Abstract

This is a descriptive analytic study which aimed to describe the morphologic alterations of the trachea in intubated patients with cannulas of high-residual volume and low-pressure cuff, maintained on mechanical ventilation with lower pressure inside the "cuff" than the tracheal capillary pressure (20-30 mmHg) in function of intubation time. The study population consisted of 23 adult patients admitted at an Intensive Care Unit, who were intubated for periods ranging from 27 to 317 hours and died, needing necropsy to identify the cause of deaths. The observed alterations were limited to the tracheal mucous membrane, affecting only the epithelium tissue and the lamina propria. Intubation time was a determinant factor to aggravate tracheal wall injuries.

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Published

2003-12-01

Issue

Section

Original Articles

How to Cite

Barbosa, P. M. K., & Santos, B. M. de O. (2003). Morphologic trachea alterations in intubated patients in function of intubation time. Revista Latino-Americana De Enfermagem, 11(6), 727-733. https://doi.org/10.1590/S0104-11692003000600005