Complications of ventilation tubes: - Dr. Nassem Talaat
Complications of ventilation tubes: - Dr. Nassem Talaat
Complications of ventilation tubes: - Dr. Nassem Talaat
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A) Stage <strong>of</strong> corrosive oesophagitis<br />
Symptoms: -Severe pain in mouth, tongue, pharynx<br />
-Severe dysphagia & regurgitation<br />
-Stridor due to laryngeal oedema<br />
-Shock & dehydration<br />
Signs: -white sloughs, oedema -skin burns -shock<br />
<strong>Complications</strong>:<br />
1- Shock, dehydration, electrolyte imbalance 2- oesophageal perforation<br />
3- Esophageal stricture 4- T.O.F<br />
5- Stridor 6- Chest infection<br />
Treatment:<br />
1-milk & egg white<br />
2-management <strong>of</strong> shock & electrolyte imbalance<br />
3-Tracheostomy if severe obstruction<br />
4-parentral antibiotics<br />
5-cortisone to decrease edema & fibrosis<br />
6-Rubber naso gastric tube is inserted in 1 st few days to facilitate feeding & maintain<br />
the lumen<br />
7-Neutralization <strong>of</strong> the corrosive!!! (vingar)<br />
B) Stage <strong>of</strong> post corrosive stricture<br />
* Clinical picture: 1- Dysphagia reappears 2-3 weeks<br />
2- Dehydration & starvation<br />
3- Regurgitation & chest infection<br />
* Investigations: 1-plain x ray neck & chest<br />
2-barium swallow: irregular narrow segment<br />
3-oesophagoscopy<br />
* Treatment: A) Permeable stricture: Regular dilatation via rigid oesophagoscopy<br />
B) Impermeable stricture (non dilatable)<br />
1-Temporary gastrostomy<br />
2-Surgery: -Rsection <strong>of</strong> stricture & free jejunal loop reanastomosis<br />
or colon bypass<br />
-oesophagogastrostomy or jejunostomy -stents<br />
Indicated in: non dilatable stricture -complications(cachexia)
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