전신 마취를 위한 기관내 삽관이 술 후 음성 변화에 미치는 영향과 관여 인자

하일우; 김문철; 이상준; 김애리; 장진순; 전병훈; 최익수

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자료유형: 학술저널

저자정보: 하일우 김문철 이상준 김애리 장진순 전병훈 최익수

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제54권 제2호

발행연도: 2011.1

수록면: 137 - 141 (5page)

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Background and Objectives Reliable studies about the impact of short-term intubation, particularly as part of general anesthesia, are scarce. That scarcity led to the following research objectives. First of all, we tried to find out how often and why voice change last more than 72 hours after intubation conducted for general anesthesia. Subjects and Method The study enrolled 80 patients who were due to undergo general anesthesia at the Seoul Paik Hospital from Aug. 2009 to May 2010. The patients were examined through stroboscopic examination and voice analysis before surgery. Three days after the surgery, the same tests were performed again to single out patients whose results were abnormal; thus a proportion could be calculated. The other objective was to determine the factors involved with voice change. This was done according to the Mallampati classification, using the images from laryngoscopy and compiling records of cuff pressure, cuff volume, tube size, duration of intubations, and the number of intubation trials. Results 7.5% of the patients suffered from voice change longer than 3 days. Three factors, namely, cuff pressure, duration of anesthesia and patient age demonstrated statistically significant relationships among them. Conclusion The results indicate that there is a need for patients scheduled to face general anesthesia to receive sufficient explanation about the possible postoperative voice change that could last longer than 3 days. Furthermore, surgeons and anesthesiologists need to cooperate closely by taking the patient age, duration of anesthesia and cuff pressure into account in order to limit postoperative voice change to the minimum extent.

#Endotracheal intubation ㆍVoice ㆍGeneral anesthesia.

참고문헌 (17)

참고문헌 신청

Balestrieri F / 1982 / Intubation granuloma / Otolaryngol Clin North Am 15 (3) : 567 ~ 579

Beckford NS / 1990 / Effects of shortterm endotracheal intubation on vocal function / Laryngoscope 100 (4) : 331 ~ 336

Bishop MJ / 1989 / Mechanisms of laryngotracheal injury following prolonged tracheal intubation / Chest 96 (1) : 185 ~ 186

Cormack RS / 1984 / Difficult tracheal intubation in obstetrics / Anaesthesia 39 (11) : 1105 ~ 1111

Donnelly WA / 1948 / Local sequelae of endotracheal anesthesia / Anesthesiology 9 (11) : 490 ~ 497