Tracheal intubation: optimal conditions, vocal cord damage, and allergy

Age and comorbidity as risk factors for vocal cord paralysis associated with tracheal intubation.

BACKGROUND Vocal cord paralysis after tracheal intubation may be attributed to ageing and comorbidity. However, the relationship between patient characteristics and the risk of vocal cord paralysis is unknown. METHODS We prospectively analysed data representing 31 241 consecutive surgery patients who underwent tracheal intubation to determine whether duration of intubation, age, sex, and card...

Vocal cord paralysis following endotracheal intubation.

A 60 year old lady presented to the emergency room with 2 days history of abdominal distention, colicky pain and constipation. Her chest x-ray showed pneumoperitoneum. She underwent exploratory laparotomy the same day. She was found to have a tumour of the sigmoid colon alongwith caecal perforation. A subtotal colonic resection with ileocolic anastomosis was performed. Her preoperative assessme...

Bilateral vocal cord paralysis following endotracheal intubation.

Bilateral vocal cord paralysis following endotracheal intubation is an uncommon cause of respiratory obstruction. We report one case, adding to ten previously identified. We dissected eight human cadaver larynges and noted the path of the anterior ramus of the recurrent laryngeal nerve. It appeared to be particularly vulnerable to compression injury as it passed between the arytenoid cartilage ...

Conditions for tracheal intubation following fazadinium and pancuronium.

Intubating conditions were studied in two groups of patients who received either fazadinium 1 mg/kg or pancuronium 0.1 mg/kg (group 1), or either fazadinium 0.5 mg/kg or pancuronium 0.08 mg/kg (group 2). In group 1 intubating conditions were studied at 30, 45, 60 and 75 s after injection of the relaxant drug, and in group 2 at 60 s after injection. Fazadinium provided better intubating conditio...

Allergy and Benign Lesions of the Vocal Cord Mucosa