Document Detail


Quantitative study of the early effects of tracheotomy and endotracheal intubation on the rabbit tracheobronchial tree.
MedLine Citation:
PMID:  2294835     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Histopathologic evaluation of the tracheobronchial tree was performed in 12 rabbits to study the effects of 1 hour of tracheotomy or endotracheal intubation. In five animals who underwent oral endotracheal intubation, epithelial erosions and submucosal inflammation in the proximal (bronchial) airway covered 34.9% and 71.3% of the luminal circumference, respectively. This was highly significant (p less than .001) against two control animals, in which 4.8% erosion and 3.9% inflammation were observed. Tracheotomy in three animals caused 22.8% bronchial epithelial erosion and 46.0% inflammation, which were not significantly greater than values of 15.0% and 20.6% observed following "sham" tracheotomy. The severity of the proximal (indirect) consequences of endotracheal intubation may have been attributable to the lack of humidification, but this does not explain the lesser damage caused by tracheotomy. It is postulated that increased inspiratory flow rate and pressures occurring in endotracheally intubated animals may be contributory factors.
Authors:
R Squire; S Y Siddiqui; G DiNunzio; L Brodsky
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Annals of otology, rhinology, and laryngology     Volume:  99     ISSN:  0003-4894     ISO Abbreviation:  Ann. Otol. Rhinol. Laryngol.     Publication Date:  1990 Jan 
Date Detail:
Created Date:  1990-02-07     Completed Date:  1990-02-07     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0407300     Medline TA:  Ann Otol Rhinol Laryngol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  62-8     Citation Subset:  AIM; IM    
Affiliation:
Department of Otolaryngology, State University of New York, School of Medicine, Buffalo.
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MeSH Terms
Descriptor/Qualifier:
Animals
Bronchi / injuries,  pathology*
Epithelium / pathology
Female
Hemorrhage / etiology,  pathology
Inflammation / etiology,  pathology
Intubation, Intratracheal* / adverse effects*
Rabbits
Trachea / injuries,  pathology*
Tracheotomy / adverse effects*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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