Brazilian Journal of Anesthesiology
https://app.periodikos.com.br/journal/rba/article/doi/10.1590/S0034-70942006000200011
Brazilian Journal of Anesthesiology
Review Article

Rouquidão após intubação traqueal

Hoarseness after tracheal intubation

Regina Helena Garcia Martins; José Reinaldo Cerqueira Braz; Norimar Hernandes Dias; Emanuel Celice Castilho; Leandro Gobbo Braz; Lais Helena Camacho Navarro

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Resumo

JUSTIFICATIVA E OBJETIVOS: Descrever as principais causas de rouquidão após intubação traqueal. CONTEÚDO: A rouquidão após intubação traqueal é um dos sintomas mais freqüentes no pós-operatório, podendo apresentar durações variáveis, dependendo dos fatores causais e da gravidade do comprometimento das estruturas da laringe. Foi realizada uma breve revisão das estruturas anatômicas da laringe, em que foram descritas as principais lesões traumáticas desse órgão, decorrentes da intubação traqueal e salientou-se a importância dos seus cuidados, bem como do diagnóstico e tratamento precoces. CONCLUSÕES: As lesões traumáticas das estruturas da laringe durante a intubação são causas freqüentes de rouquidão, sendo importante o diagnóstico precoce e a adoção de medidas preventivas.

Palavras-chave

COMPLICAÇÕES, rouquidão, INTUBAÇÃO, Traqueal

Abstract

BACKGROUND AND OBJECTIVES: To describe the main causes of hoarseness after undergoing tracheal intubation. CONTENTS: Hoarseness is one of the most common postoperatory symptoms after tracheal intubation and the effects vary in terms of duration, depending on the factors that caused it and on how severe the damage to the laryngeal structures. This study performed a brief check-up of the anatomical structures of the larynx, describing the main traumatic lesions in the region following tracheal intubation. It also emphasized the importance of caring for the larynx, as well as undergoing early diagnosis and treatment. CONCLUSIONS: Traumatic lesions of the laryngeal structures that occur during intubation are the most common causes of hoarseness. As such, it is important to perform an early diagnosis and adopt preventive measures.

Keywords

COMPLICATIONS, hoarseness, INTUBATION, Tracheal

References

Jones MW, Catling S, Evans E. Hoarseness after tracheal intubation. Anesthesia. 1992;47:213-216.

Mencke T, Echternach M, Kleinschmidt S. Laryngeal morbidity and quality of tracheal intubation: A randomized controlled trial. Anesthesiology. 2003;98:1049-1056.

Fechner RF, Mills SE. Larynx and Pharynx. Histology for Pathologists. 1992:443-445.

Behlau M, Azevedo R, Madazio G. Anatomia da Laringe e Fisiologia da Produção Vocal. Voz: O Livro do Especialista. 2001:1-51.

Hirano M. Morphological structure of the vocal cord as a vibrator and its variations. Folia Phoniatrica. 1974;26:89-94.

Hirano M. Surgical Anatomy and Physiology of the Vocal Folds. Voice Surgery. 1993:135-158.

Holzki J. Laryngeal damage from tracheal intubation. Pediatr Anesth. 1997;7:435-437.

Molins L, Buitrago LJ, Vidal G. Tracheal lacerations after intubation. Chest. 1998;114:1793-1794.

Chandler M. Tracheal intubation and sore throat: a mechanical explanation. Anesthesia. 2002;57:155-161.

Lacau Saint Guily J, Boisson-Bertrand D, Monnier P. Lesions to lips, oral and nasal cavities, pharynx, larynx, trachea and esophagus due to endotracheal intubation and its alternatives. Ann Fran Anesth Reanim. 2003;22(^s1):81s-96.

Sue RD, Susanto I. Long-term complications of artificial airways. Clin Chest Med.. 2003;24:457-471.

Martins RHG, Dias NH, Braz JRC. Complicações das vias aéreas relacionadas à intubação endotraqueal. Rev Bras Otorrinolaringol. 2004;70:671-677.

Lesperance MM, Zalzal GH. Laryngotracheal stenosis in children. Eur Arch Otorhinolaryngol. 1998;255:12-17.

Walner DL, Loewen MS, Kimura RE. Neonatal subglottic stenosis: incidence and trends. Laryngoscope. 2001;111:48-51.

Ximenes Filho JA, Nakanishi M, Montovani JC. Estenose laríngea em crianças. Arq Otorrinolaringol. 2002;6:56-60.

Brichet A, Ramon P, Marquette CH. Sténoses et complications trachéales postintubation. Réanimation. 2002;11:49-58.

Sennes LU, Ximenes Filho JA, Tsuji DH. Estenose Laringotraqueal. Tratado de Otorrinolaringologia. 2003:524-534.

Nordin U. The trachea and cuff-induced tracheal injury: An experimental study on causative factors and prevention. Acta Otolaryngol. 1977;345:1-71.

Contencin P, Narcy P. Size of endotraqueal tube and neonatal acquired subglottic stenosis: Study Group for Neonatology and Pediatric Emergencies in the Parisian Area. Arch Otolaryngol Head Neck Surg. 1993;119:815-819.

Koh KF, Hare JD, Calder I. Small tubes revisited. Anesthesia. 1998;53:46-50.

Braz JRC, Navarro LHC, Takata IH. Endotraqueal tube cuff pressure: need for precise measurement. São Paulo Med J. 1999;117:243-247.

Castilho EC, Braz JRC, Martins RHG. Efeito da pressão limite de 25 cmH2O e mínima de selo do balonete de tubos traqueais sobre a mucosa traqueal do cão. Rev Bras Anestesiol. 2003;53:743-755.

Vianna PTG, Colognesi JR, Braz JRC. Granuloma de laringe pós-intubação traqueal: Apresentação de um caso. Rev Bras Anestesiol. 1977;27:106-111.

de Lima Pontes PA, De Biase NG, Gadelha EC. Clinical evolution of laryngeal granulomas: treatment and prognosis. Laryngoscope. 1999;109:289-294.

Cotton R. Management of subglottic stenosis in infancy and childhood: Review of a consecutive series of cases managed by surgical reconstruction. Ann Otol Rhinol Laryngol. 1978;87:649-657.

Younis RT, Lazar RH, Astor F. Posterior cartilage graft in single-stage laryngotracheal reconstruction. Otolaryngol Head Neck Surg. 2003:129.

Eliashar R, Eliachar I, Esclamado R. Can topical mitomycin prevent laryngotracheal stenosis?. Laryngoscope. 1999;109:1594-1600.

Ribeiro Fde A, Guaraldo L, Borges Jde P. Clinical and histological healing of surgical wounds treated with mitomycin C. Laryngoscope. 2004;114:148-152.

Harris TM, Johnston DF, Collins SRC. A new anesthesia technique for use in singers: The brain laryngeal mask airway versus endotracheal intubation. J Voice. 1990;4:81-85.

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