Post-intubation Tracheal Stenosis in the ICU: Diagnosis and Treatment
Author Information
Author(s): Makhoul N, Altman E, Croitoru S, Ivry S, Gurevich A, Krimerman S, Croitoru M
Primary Institution: Western Galilee Hospital, Naharya, Israel
Hypothesis
Prolonged mechanical ventilation may lead to post-intubation tracheal stenosis, which can be managed effectively in the ICU.
Conclusion
Management of post-intubation tracheal stenosis in the ICU was beneficial for some patients, particularly those with critical stenosis.
Supporting Evidence
- 13 patients had post-intubation tracheal stenosis with a diameter of about 5 to 6 mm.
- Emergency tracheostomy was performed in two patients with severe respiratory distress.
- Balloon dilation was used for five patients with hard stenosis.
Takeaway
When patients have breathing problems after being on a ventilator, doctors can use special tools to help fix their airways.
Methodology
Retrospective review of medical records of patients with post-intubation tracheal stenosis, using CT, virtual tracheoscopy, and bronchoscopy for diagnosis and treatment.
Participant Demographics
10 males with a mean age of 68 years and 7 females with a mean age of 72 years.
Digital Object Identifier (DOI)
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