Tracheal rupture complicating emergent endotracheal intubation
Journal
American Journal of Emergency Medicine
Journal Volume
22
Journal Issue
4
Pages
289-293
Date Issued
2004
Author(s)
Abstract
Tracheal rupture is rare in clinical practice. We present 2 female patients with tracheal rupture after emergent endotracheal intubation from different injury mechanisms; penetrating injury of using stylet during intubation in one case and overinflation of cuff of the endotracheal tube under rapid sequence intubation in another. The lesions of rupture could be detected by bronchoscopy and reconstructive 3-dimensional computed tomography. Both cases received surgical repair without complication. In our report, reconstructive 3-dimensional computed tomography scrupulously detected the rupture sites and provided the noninvasive modality for diagnosis. We review the literature of tracheal rupture after emergent endotracheal intubation in respects of the diagnosis, the possible mechanisms of the injury, and suggest strategies of management. ? 2004 Elsevier Inc. All rights reserved.
SDGs
Other Subjects
midazolam; suxamethonium; aged; article; bronchoscopy; case report; clinical feature; computer assisted tomography; disease course; emergency surgery; endotracheal intubation; endotracheal tube; female; human; lobar pneumonia; lung edema; penetrating trauma; pneumothorax; priority journal; pulse oximetry; subcutaneous emphysema; trachea injury; tracheotomy; treatment outcome; tube; Aged; Aged, 80 and over; Algorithms; Emergencies; Female; Humans; Intubation, Intratracheal; Rupture; Trachea
Type
journal article