Laryngopharyngeal morbidity following general anaesthesia. Anaesthesiological and laryngological aspects

被引:10
作者
Reber A. [1 ,3 ]
Hauenstein L. [1 ]
Echternach M. [2 ]
机构
[1] Klinik FürAnästhesiologie und Intensivmedizin, Spital Zollikerberg, Zollikerberg
[2] Freiburger Institut für Musikermedizin, Universitätsklinik, Freiburg im Breisgau
[3] Klinik FürAnästhesiologie und Intensivmedizin, Spital Zollikerberg, Zollikerberg CH-8125
关键词
General anaesthesia; Laryngopharyngeal problems; Medicolegal aspects; Perioperative respiratory tract management; Vocal cord injuries;
D O I
10.1007/s00101-007-1137-5
中图分类号
学科分类号
摘要
Laryngeal and pharyngeal complaints are among the subjective problems most frequently reported by patients after general anaesthesia involving endotracheal intubation, others being pain, nausea and vomiting. Hoarseness, sore throat, and vocal cord injuries restrict patients' social lives, and in some cases also their working lives. The most frequent types of laryngeal injury are swollen mucosa and haematoma of the vocal cords. Vocal cord paralysis occurs much less frequently. Knowledge of the pathophysiological aspects and other relevant factors associated with laryngopharyngeal morbidity are essential cornerstones of quality assurance in perioperative respiratory tract management. In this review specific sections are devoted to the implications of anaesthesia involving endotracheal intubation and laryngeal masks for laryngopharyngeal morbidity, and also particular aspects of thyroid gland surgery, cardiothoracic and bariatric surgery and obstetric and paediatric anaesthesia, and medicolegal aspects. © 2007 Springer Medizin Verlag.
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页码:177 / 192
页数:15
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