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Intubation
| Term | Definition |
|---|---|
| What is the point of endotracheal intubation | to maintain airway opening and deliver oxygen |
| True or False: Intubation is meant to be long-term | FALSE! Intubation is meant to be between 7-12 days long. |
| What is caused by longer intubation? | Permanent laryngeal and ling injury due to irritation of mucosa. |
| Patients who are need assistance with oxygen beyond the intubation period are placed on what? | Mechanical ventilator |
| What is Post extubation dysphagia | Difficulty with eating/swallowing following a period of intubation |
| What laryngeal dysfunction can intubation lead to? | Granuloma, hematoma, ulcerations, edema (swelling), laryngeal paralysis and weakness, as well as general irritation of the mucosa |
| What factors are associated with worse outcomes related to intubation? | multiple intubations, self-extubation, older than 55, longer intubations, emergency intubations. |
| What is the independent risk factor for aspiration post-extubation | Traumatic intubation |
| High number of ventilator days increases the risk for what? | Post extubation dysphagia |
| Why is COPD a risk factor for post extubation dysphagia? | 60% more likely to aspirate after extubation |
| What are the independent risk factors for PED? | a low score on the Glasgow Coma Scale and traumatic intubation |
| What percentage does the risk of PED go up after being on the ventilator for an extended period of time? | 14% each day, and intubation for more than 7 days is associated with moderate to sever dysphagia |
| Age greater than (blank) is identified as a risk factor for swallowing dysfunction after prolonged intubation? | 55 years old |
| Do emergency or non-emergency influence the risk of PED? | Emergent intubation increases risk of PED |