Mehmet Akif ÖZGÜL, Efsun Gonca UĞUR CHOUSEİN

Postentübasyon trakeal stenoz

Postentübasyon trakeal stenoz (PETS); son yıllarda yoğun bakım yataklarının ve endotrakeal entübasyon gerektiren endikasyonlarınartışı, bu konuda farkındalığın artması nedeniyle eskiye nazaran daha sık görmeye başladığımız iyatrojenik bir komplikasyondur. PETS,asemptomatik olabilecek olgulardan, çok acil girişimsel müdahale gerektirecek kadar ağır olgulara varan geniş bir klinik yelpazeyesahiptir. Bu nedenle anamnezinde entübasyon olan, solunum sıkıntısı tarifleyen hastaların ayırıcı tanısında mutlaka akılda tutulmalıdır.Tanıda altın standart fiberoptik/rijid bronkoskopidir. Tedavisinde ilk tercih edilen yöntem trakeal rezeksiyon ve uç uca anastomoz(TRA) olsa da cerrahiye uygun olmayan ya da bazı özel seçilmiş olgularda bronkoskopik girişimler hayat kurtarıcı, cerrahiye kadargeçecek sürede hastaya zaman kazandırıcı ve hatta kür sağlayıcı olmaktadır.

Postintubation tracheal stenosis

Postintubation tracheal stenosis (PITS) is an iatrogenic complication seen increasingly often as the number of intensive care unit (ICU) bed multiply, the indications for endotracheal intubation expand and disease awareness rises. PITS has a clinical severity spectrum ranging from asymptomatic cases to patients requiring urgent interventional procedures. It should therefore always be considered in the differential diagnosis in patients with a history of intubation who present with the complaint of difficult breathing. The golden standart for diagnosis is fiberoptic/rigid bronchoscopy. Even though tracheal resection and end-to-end anastomosis (TRA) is the preferred traetment, in some selected cases and in the patients who are not candidates for surgery, bronchoscopic interventions can be life saving, temporizing until surgery is possible and even be curative.

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