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Suggest Treatment For Damaged Vocal Cords While Doing Intubation
Question: hi I had an severe allergic reaction to enalapril and nifidipine and stopped breathing a intubation of my trachea was proformed and my vocal cords was severely damaged was there an alternative method that could have been used no one asked my family about any of this and now I cannot talk.
the pictures I have seen on of intubation of the trachea didn't include the vocal cords just the mouth trachea and the esophagus, does the trachea include the vocal cords? My esophagus was so damaged from the intubation that severe scarring occurred an healed up in scar tissues called keloids and thud the tissue of my vocal cord was paralyzed. I guess I AM SPELLING THESE WORDS RIGHT.
the pictures I have seen on of intubation of the trachea didn't include the vocal cords just the mouth trachea and the esophagus, does the trachea include the vocal cords? My esophagus was so damaged from the intubation that severe scarring occurred an healed up in scar tissues called keloids and thud the tissue of my vocal cord was paralyzed. I guess I AM SPELLING THESE WORDS RIGHT.
Brief Answer:
Follows.
Detailed Answer:
Dear Madam,
Thank you for posting your query on HCM.
Well looking into your problem I would like to tell you that Enalapril is an ACE inhibitor and it is not very uncommon to have an allergic reaction to it . Probably according to your history you suffered from serious anaphylactic reaction which would have resulted in shortness of breath , For in such reaction it is necessary to intubate otherwise it will result in choking .
It depends on the type of intubation tube used , Generally it is put in trachea through larynx not the esophagus . Since due to reaction the whole mucosa would have swollen up it could have resulted in injury to vocal cords as there would be very little space to pass the tube . Since this allergic reaction is an emergency and it was a life saving step which saved your life .
They couls have used adrenaline, steroids or antiallergics for curbing the reaction but sometimes its so severe that it doesnt respond to all these measures . In my opinion it is a complication of procedure that happened to you.
Take care.
Dr. Shruti
Follows.
Detailed Answer:
Dear Madam,
Thank you for posting your query on HCM.
Well looking into your problem I would like to tell you that Enalapril is an ACE inhibitor and it is not very uncommon to have an allergic reaction to it . Probably according to your history you suffered from serious anaphylactic reaction which would have resulted in shortness of breath , For in such reaction it is necessary to intubate otherwise it will result in choking .
It depends on the type of intubation tube used , Generally it is put in trachea through larynx not the esophagus . Since due to reaction the whole mucosa would have swollen up it could have resulted in injury to vocal cords as there would be very little space to pass the tube . Since this allergic reaction is an emergency and it was a life saving step which saved your life .
They couls have used adrenaline, steroids or antiallergics for curbing the reaction but sometimes its so severe that it doesnt respond to all these measures . In my opinion it is a complication of procedure that happened to you.
Take care.
Dr. Shruti
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
would any doctor using this treatment be required to explain the difficulties to the family as to why intubation was necessary and damage done as a result of having to intubate and the possible effects for the future from such damage. I hope I am explaining this right.
Brief Answer:
Follows.
Detailed Answer:
Dear Madam,
Thank you for reverting back.
Ideally before any procedure informed consent is required but policy varies from place to place . Sometimes a blanket informed consent is taken at the time of admission itself which will let the doctors do what is required without explaining again and again.
Since yours was an anaphylactic reaction this procedure was life saving and an emergency procedure with very little time so may be they were not able to take prior consent otherwise they could have lost on you .
Dr. Shruti
Follows.
Detailed Answer:
Dear Madam,
Thank you for reverting back.
Ideally before any procedure informed consent is required but policy varies from place to place . Sometimes a blanket informed consent is taken at the time of admission itself which will let the doctors do what is required without explaining again and again.
Since yours was an anaphylactic reaction this procedure was life saving and an emergency procedure with very little time so may be they were not able to take prior consent otherwise they could have lost on you .
Dr. Shruti
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.
Above answer was peer-reviewed by :
Dr. Bhagyalaxmi Nalaparaju
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