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Intubation granuloma is a benign growth of granulation tissue in the larynx or trachea, which arises from tissue trauma due to endotracheal intubation. [1] This medical condition is described as a common late complication of tracheal intubation, specifically caused by irritation to the mucosal tissue of the airway during insertion or removal of the patient's intubation tube.
The most widely used route is orotracheal intubation, in which an endotracheal tube is passed through the mouth, through the vocal cords, and into the trachea. In a nasotracheal intubation, a nasotracheal tube (NTT) is passed through the nose, through the vocal cords, and into the trachea. [6] [7] [8]
Intubation is normally facilitated by using a conventional laryngoscope, flexible fiberoptic bronchoscope, or video laryngoscope to identify the vocal cords and pass the tube between them into the trachea instead of into the esophagus. Other devices and techniques may be used alternatively.
It may be triggered when the vocal cords or the area of the trachea below the vocal folds detects the entry of water, mucus, blood, or other substance. [1] It is most often reported 1) post-operatively after endotracheal extubation or 2) after sudden reflux of gastric contents. [2] [4] [1] It is common in drowning.
Phlegm can lead to congestion, coughing, and breathing problems. We spoke to medical experts on the causes, symptoms, and treatments of phlegm.
Optimally position the patient to maximise the probability of intubation success (e.g. external auditory meatus level with sternal notch). 2. Hold the suction catheter (wide-bore, rigid) in a clenched-fisted right hand, with the distal end of the catheter pointing caudad and posterior, to enable manipulation of the tongue and mandible as required.
In adults and children age 2 and older, use it only on the neck and chest to ease coughing during a cold, per the Mayo Clinic. Vicks VapoRub is made of ingredients such as camphor, eucalyptus oil ...
Endotracheal intubation carries with it many risks, particularly when paralytics are used, as maintenance of the airway becomes a challenge if intubation fails. It should therefore be attempted by experienced personnel, only when less invasive methods fail or when it is deemed necessary for safe transport of the patient, to reduce risk of ...
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related to: how to remove phlegm on vocal cords due to intubation and vomiting in children