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- Title
LARINGOTRAQUEOSCOPIA FLEXÍVEL NA DECANULAÇÃO DE PACIENTES TRAQUEOSTOMIZADOS: OTIMIZAÇÃO DE SEGURANÇA PARA O PACIENTE.
- Authors
Medeiros Lemos, Mauricio; Peralta Bandeira, César Orlando; Dias Marques, Vlaudimir; Vieira Teixeira, Jorge Juarez; Barros de Carvalho, Maria Dalva
- Abstract
To evaluate de-cannulation by flexible laringeotracheoscopy for laringeotracheal lesions which are not diagnosed by clinical criteria. One hundred tracheostomized patients, aged between 18 and 80 years old, with indication of de-cannulation submitted to occlusion of the cannula during three minutes to evaluate fonation and ventilation, followed by tests. De-cannulation by clinical criteria was compared with diagnosis of larigeotracheal lesions after the end of flexible laringeotracheoscopy. Myer-Cotton criteria were employed, a referential for the classification of laringeotracheal diseases. Sixty-two (62%) patients had clinical criteria for de-cannulation but with laringeotracheal disease identified by flexible largineotracheoscopy. Eight (8%) could be de-cannulated, based on clinical criteria which counterindicated the removal of the cannula. Only twenty-six (26%) did not present a laringeotracheal disease. Eleven (11%) were not de-cannulated since they did not comply with clinical and endoscopy criteria. Flexible laringeotracheoscopy acknowledged the laringeotracheal disease in patients who complied with clinical criteria for the removal of tracheal cannula. The test, as a routine in patients´ evaluation complying with de-cannulation criteria, was useful and safe.
- Publication
Saúde e Pesquisa, 2019, Vol 12, Issue 2, p377
- ISSN
1983-1870
- Publication type
Article
- DOI
10.17765/2176-9206.2019v12n2p377-383