Results of Post-Intubation Tracheal Stenosis Treatment Among the Elderly in Masih Daneshvari Hospital

Arab, M.; Pejhan, S.; Farzanegan, R.; Shadmehr, M.B.; Javaherzadeh, M.; Daneshvar, A.; Abbasi, A.

Results of Post-Intubation Tracheal Stenosis Treatment Among the Elderly in Masih Daneshvari Hospital

Document Type : Original Article

Authors

M. Arab ¹

S. Pejhan ¹

R. Farzanegan ²

M.B. Shadmehr ²

M. Javaherzadeh ²

A. Daneshvar ³

A. Abbasi ⁴

¹ Assistant Professor of Thoracic Surgery, Shaheed Beheshti University of Medical Science and Health Services, NRITLD, Masih Daneshvari Hospital, Tehran, Iran

² Associate Professor of Thoracic Surgery, Shaheed Beheshti University of Medical Science and Health Services, NRITLD, Masih Daneshvari Hospital, Tehran, Iran

³ General Surgeon, Shaheed Beheshti University of Medical Science and Health Services, NRITLD, Masih Daneshvari Hospital, Tehran, Iran

⁴ Professor of Thoracic Surgery, Shaheed Beheshti University of Medical Science and Health Services, NRITLD, Masih Daneshvari Hospital, Tehran, Iran

Abstract

Introduction & Objective: Post-intubation tracheal stenosis is a serious but preventable complication of endotracheal tubes, seen more as a problem, by developing ICU's and critical care. The aim of this study is to evaluate these stenoses in elderly patients regarding, etiologies, modes of treatment, prognosis and results. Materials & Methods: This retrospective clinical trial reports, the causes, therapeutic options and prognosis of these patients regarding "age" as a single comparative criteria. The patients were referred to our center during 13 years (1994-2006) and regarding their condition, have had different therapies. Results: It seems that in the elderly patients, general diseases (i.e cardiovascular, respiratory, neurologic, …) are the major causative agents making prolonged intubation necessary, not multiple trauma as in youth. Modes of therapy are more conservative and prognosis depends on the primary disease. Conclusions: Regarding general condition and primary diseases, surgery is still a main option for treatment of post intubation tracheal stenosis in elderly, although it is less feasible.

Keywords

Tracheal Stenosis

Intubation

Geriatrics