Related Experiment Video
Updated: Jul 14, 2026
07:45
Minimally Invasive Murine Laryngoscopy for Close-Up Imaging of Laryngeal Motion During Breathing and Swallowing
Published on: December 1, 2023
Vocal fold immobility following burn intensive care.
Travis J Pfannenstiel1, Thomas J Gal, David K Hayes
1Department of Otolaryngology, Brooke Army Medical Center, FT Sam Houston, TX 78234, USA. travis.pfannenstiel@us.army.mil
Summary
High-altitude transport of intubated burn patients increases vocal fold immobility risk. Endotracheal tube cuff pressure is a key factor in laryngeal nerve injury development.
Area of Science:
- Critical Care Medicine
- Otolaryngology
- Speech Pathology
Background:
- Vocal fold immobility can occur in patients surviving burn intensive care.
- Understanding risk factors is crucial for preventing laryngeal injury.
Purpose of the Study:
- To identify factors associated with vocal fold immobility in burn intensive care survivors.
- To investigate the link between patient management and laryngeal injury.
Main Methods:
- Retrospective review of 52 patients from a Burn Intensive Care Unit.
- Videostroboscopic examination for vocal fold immobility diagnosis.
- Logistic regression analysis to assess associations with patient management factors.
Main Results:
- Vocal fold immobility was diagnosed in 48% of patients.
- Intubation during overseas aeromedical evacuation was a significant risk factor (OR 4.5, P=0.026).
- Each 1% increase in total body surface area (TBSA) burn correlated with a 3% increased risk.
Conclusions:
- High-altitude transport of intubated patients is a significant risk factor for laryngeal injury.
- Endotracheal tube cuff pressure may play a critical role in recurrent laryngeal nerve injury.
Related Concept Videos
01:26Flail Chest-II
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
01:22Burn Injuries
Burn injuries occur when the skin and underlying tissues are damaged due to exposure to heat, electricity, chemicals, radiation, or friction. They can vary in severity, from minor superficial burns to severe deep burns that can be life-threatening.
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
01:30Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques
Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway interventions are...
01:21Tracheostomy Decannulation
Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
01:25Tracheostomy Care II: Procedure
Tracheostomy care is an essential nursing skill that involves cleaning and maintaining a tracheostomy tube to prevent infection and other complications. Here's a step-by-step guide explaining each procedure with its rationale. Note that disposable gloves are to be worn at all times and changed as often as needed to maintain a sterile work environment, and to protect both patient and healthcare worker.
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask and...
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask and...
01:17Endotracheal Intubation II: Nursing Management
Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...