Document Detail


Postintubation tracheal injuries--case series and literature review.
MedLine Citation:
PMID:  23330416     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
SUMMARY - Post-intubation tracheal injury is a rare and potentially fatal complication. The most common causes are overinflation ofendotracheal tube cuffs and multiple intubation attempts in emergency cases. The diagnosis is based on clinical and radiological suspicion of tracheal injury confirmed by fiberoptic bronchoscopy. Decision between conservative and surgical management of the injury depends on clinical presentation (respiratory instability, concomitant diseases), lesion characteristics (lesion site, size, and number), and time elapsed from injury to diagnosis. We present three cases ofpost-intubation tracheal injury. In two cases, the patients were treated conservatively; in the third case, the patient died from asphyxia caused by thrombus occlusion of the trachea after a longitudinal tracheal lesion. Pre-anesthetic examination did not indicate any possibility of difficult intubation in any of the patients; however, in one of the patients admitted through the emergency department, emergency intubation was performed.
Authors:
Vilka Bekavac Misak; Andrea Persin Beraković; Ivana Vukusić; Jana Kogler; Leo Pazanin; Slavica Orehovec Ozegović
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta clinica Croatica     Volume:  51     ISSN:  0353-9466     ISO Abbreviation:  Acta Clin Croat     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2013-01-21     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9425483     Medline TA:  Acta Clin Croat     Country:  Croatia    
Other Details:
Languages:  eng     Pagination:  467-71     Citation Subset:  IM    
Affiliation:
Department of Anesthesiology, Resuscitation and Intensive Care Medicine, Zagreb University Hospital Center, Zagreb, Croatia. vilka.bekavac.misak@gmail.com
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