Summary
With the development of new synthetic disposable materials like silikon and PVC and the low pressure soft cuffs, the risk of laryngeal and tracheal trauma for long-term intubation has decreased. We have seen in regular endoscopic controls that the rate of severe complications like stenosis is considerably reduced. It is no longer problematic to carry out nasotracheal intubation over several weeks in patients requiring artificial ventilation. The results of a study of 1,134 prolonged intubated individuals are presented. We did not find in later examinations after one to three years at surviving patients any laryngeal stenosis and saw only 0.46% tracheal stenosis.
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Hövener, B., Matthias, R. & Handrock, M. Verhinderung von laryngealen und trachealen Schäden bei Langzeitintubation. Arch Otorhinolaryngol 227, 451–454 (1980). https://doi.org/10.1007/BF00467559
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DOI: https://doi.org/10.1007/BF00467559