Intubación endotraqueal prolongada como causa de estenosis subglótica en pacientes del Hospital General del Norte de Guayaquil IESS Los Ceibos en el periodo 2017- 2021.

Abstract

Introduction: Subglottic stenosis describes the narrowing of the upper airway characterized by respiratory distress, as a result of abnormal repair of mucosal lesions, causing fibrosis and deformation of tissue. Mythology: This is an analytic, observational, retrospective, and cross-sectional study carried out at the Hospital General del Norte de Guayaquil IESS Los Ceibos, recolecting information from the AS400 data base about patients diagnosticated with subglottic stenosis post prolonged endotracheal intubation between 2017-2021. Results: Data base registered 194 patients with subglottic stenosis between 2017-2021, 132 patients from that group had have prolonged endotracheal intubation (longer than 10 days), and 87,10% of the other 62 patients went tracheostomy. There was more prevalence of cases in male patients with 42,40%; and the risk factor that prevailed was obesity with 45,5%. The year 2021, post-pandemic, registered majority of cases with a total of 58 patients (43,9%) from the total of 132 patients. Conclusion: Prolonged endotracheal intubation cause majority of cases of subglottic stenosis in patients from the HGNG IESS Los Ceibos; also, there is the posibility of reducing the risk of presentation of cases shortening the time of intubation with tracheostomy.