Authors

Cristina Subirana-Ferrés1, Piedad Ruiz-Barrio1, Isabel Díaz-Martos1, Francisco Rivas Doyague2,Carlos Déniz Armangol2, Nuria Romero Navarrete1

Position

1Enfermera. Unidad de Cirugía Torácica. Servicio de Enfermedades Respiratorias, Infecciosas y Medicina Interna (Área Médica y de Cirugía Torácica). Hospital Universitario de Bellvitge. Hospitalet del Llobregat (Barcelona)2Médico. Unidad de Cirugía Torácica. AMRIMI. Hospital Universitario de Bellvitge. Hospitalet del Llobregat (Barcelona)

Contact address

Cristina Subirana-Ferrés. Servicio de Enfermedades Respiratorias, Infecciosas y Medicina Interna (Área Médica y de Cirugía Torácica). Hospital Univers

Contact email: csubirana@bellvitgehospital.cat

Abstract

Objective: to describe the main complications associated with laryngotracheal resection surgery, and to identify the Nursing care measures required to reduce the complications associated.
Method: a narrative review. There was a search for articles in the following databases: Pubmed, CINAHL, Cochrane Library Plus and Cuiden, with the free terms: “estenosis laringotraqueal” (“laryngotracheal stenosis”), “estenosis traqueal” (“tracheal stenosis”), “complicaciones” (“complications”), “cirugía” (“surgery”) and “cuidados” (“care”). Limited in language: English or Spanish; >18 years and published in the last 10 years.
Results: twelve (12) articles were selected from the 143 articles found. Post-surgical complications were identified: anastomotic (granulation tissue formation, restenosis, anastomosis separation or development of fistula); and non-anastomotic (laryngeal oedema and glottic insufficiency). Care measures derived from the review: sustained temporary cervical hyperflexion, prevention of nausea and vomiting, encouraging mobility and ambulation, and control of warning signs. These care measures are intended to reduce any inappropriate variations in practice, and promote quality care based on scientific evidence.
Conclusions: there is an essential need to standardize the nursing care for these patients, in order to achieve an optimal and safe management to avoid any complications associated and reduce the use of healthcare resources. Nursing staff plays an important role in the early detection of these complications, to help preventing their development, and to encourage the autonomy of the Nursing staff.

Keywords:

Laryngotracheal stenosis; tracheal stenosis; surgical complications; nursing interventions; review

Versión en Español

Título:

Cuidados enfermeros para prevenir las complicaciones asociadas a la resección traqueal