Endoscopic study on the intubation of the „pathological larynx“. Applications in anesthesia. Results

Abstract

In this prospective, observational, analytical and statistical study we identified the clinical situations in which an oro-tracheal intubation on the pathological larynx is necessary and the necessary conduct in this case. Descriptive analysis of clinical cases selected according to various parameters, calculation of fundamental statistical parameters, their graphical representation was performed using Excel, using the commands Function Statistical, Chart, Picot Tables, Data Analysis. Performing qualitative statistical tests were performed using the exact Fisher test (the exact variant of the Chi-square test). Of all the means of control and facilitation of the oro-tracheal intubation used, the rhino-pharyngeal-laryngo-tracheal fibroscopes were noted. Intra-laryngeal lesions that define „pathological larynx“ represented in our study 88% of patients. The risk of difficult orotracheal intubation (OTI) is due to the presence of pathological larynx.

Keywords

• oro-traheal intubation
• pathological larynx
• rino-faringo-laryngo-traheal fibroscopes