Intubation Complication, Mechanical Ventilation Complication, Tongue Edema, Tongue Enlarged
Conditions
Keywords
ultrasonography, endotracheal intubation tube, complication, drugs, tongue edema
Brief summary
Tongue edema (TE) is an enlargement of the tongue that can be noticed with the naked eye and protrudes from the mouth. Endotracheal intubation tube, which can exert high pressure on the tongue for a long time, may cause TE. This study was aimed to detect TE, which may develop due to long-term pressure application of the intubation tube to the tongue, in patients hospitalized in the intensive care unit (ICU) who underwent endotracheal intubation by submental ultrasonography (USG) method.
Detailed description
Tongue edema (TE) is an enlargement of the tongue that can be noticed with the naked eye and protrudes from the mouth. Endotracheal intubation tube, which can exert high pressure on the tongue for a long time, may cause TE. This study was aimed to detect TE, which may develop due to long-term pressure application of the intubation tube to the tongue, in patients hospitalized in the intensive care unit (ICU) who underwent endotracheal intubation by submental ultrasonography (USG) method.
Interventions
DIAGNOSTIC_TESTMeasuring tongue cross-sectional area by submental ultrasonography
The tongue cross-sectional areas of both groups were measured with submental ultrasonography to detect tongue edema.
Sponsors
Selcuk University
Study design
Observational model
CASE_CONTROL
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
Patients aged between 18-65 years Patients who underwent endotracheal intubation and were admitted to the intensive care unit on the 0th day of intubation and patients who underwent endotracheal intubation during follow-up in the intensive care unit and were followed up on a mechanical ventilator -
Exclusion criteria
Patients under the age of 18 and over the age of 65 Patients who had a history of maxillofacial trauma, tongue surgery, head and neck malignancy, radiotherapy to the head and neck region, congenital anomalies of the tongue base and floor of the mouth Patients who were admitted to the intensive care unit due to allergy-anaphylaxis \-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Detection of tongue edema by ultrasonography | The patients' tongue cross-sectional areas were measured by submental ultrasonograph on the 0th day of endotracheal intubation and 4th day of follow-up on a mechanical ventilator. The difference between the two measurements was evaluated as tongue edema. | Primary outcome was tongue edema which is likely to develop due to the pressure exerted by endotracheal intubation tube on the tongue, by submental ultrasonography in patients who were followed up on mechanical ventilation for a long time. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The effect of drugs applied in the intensive care unit on the development of tongue edema | The patients' tongue cross-sectional areas were measured by submental ultrasonograph on the 0th day of endotracheal intubation and 4th day of follow-up on a mechanical ventilator. The difference between the two measurements was evaluated as tongue edema. | Secondary outcome was tongue edema which is likely to develop due to the drugs applied in the intensive care unit by submental ultrasonography. |
Other
| Measure | Time frame | Description |
|---|---|---|
| The effect of the inner diameter of endotracheal intubation tube on the development of tongue edema. | The patients' tongue cross-sectional areas were measured by submental ultrasonograph on the 0th day of endotracheal intubation and 4th day of follow-up on a mechanical ventilator. The difference between the two measurements was evaluated as tongue edema. | The exploratory outcome was tongue edema which is likely to develop due to the intubation tube with a large inner diameter. |
Countries
Turkey (Türkiye)
Outcome results
None listed