Abstract

The purpose of this research is to assess the laryngotracheal damage caused by endotracheal intubation. Methods: A 15-month prospective research was carried out at the Department of General Surgery and Anaesthesiology, SCB Medical college and Hospital, Cuttack. This research comprised 50 patients who had been intubated for more than 48 hours, were admitted to a medical ICU, and were above the age of 15. To determine the frequency, kinds of damage, and variables affecting LTI after intubation. RESULTS The 50 participants ranged in age from 15 to 70 years old, with 32 men and 18 girls. Most patients (70%) were between the ages of 15 and 29. of 84% of cases, endotracheal tubes of sizes 7.5 and 8 were utilised. Most of the patients (52%) had OP poisoning, followed by metabolic illnesses such as diabetic ketoacidosis and chronic renal disease with encephalopathy. Three-quarters of the patients were intubated for more than ten days. The x-ray was normal in 36 individuals (72%), whereas the abnormality was detected in 14 patients (28%). Four patients (8%) developed granulation tissue in the posterior commissure on 70-degree endoscope, and one patient had bilateral vocal cord fixation. All of the patients with LTI were under the age of 45, and 16 of the 20 instances were men. 16 (80%) of the 20 LTI patients were intubated with endotracheal tubes larger than size 7. 12 (60%) of the total LTI cases were intubated for more than 10 days. In 16 instances (80%), OP poisoning was the cause of LTI. Conclusion: The high prevalence of LTI, particularly in instances of OP poisoning, necessitates caution in handling these intubated patients. In addition to employing low pressure, high volume cuffed tubes, patients who need extended intubation should be examined for additional alternative airway managements such as tracheostomy.

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