Objective: Iatrogenic tracheal rupture is a rare, but life-threatening complication of orotracheal intubation. In this retrospective study, etiology, and diagnostic and therapeutic approaches for iatrogenic tracheal r...Objective: Iatrogenic tracheal rupture is a rare, but life-threatening complication of orotracheal intubation. In this retrospective study, etiology, and diagnostic and therapeutic approaches for iatrogenic tracheal ruptures were reviewed. Method: Eleven patients (6 males and 5 females) were diagnosed and treated for iatrogenic tracheal rupture in our clinic. The laceration occurred after orotracheal intubation in 7 cases, and during percutaneous tracheostomy and emergency tracheostomy in the other four cases, respectively. Diagnosis was made during thoracic surgery in 5 cases. The remaining cases were diagnosed in the post-operative period;the most common symptoms were mediastinal and subcutenous emphysema and pneumothorax. Results: The diagnosis was confirmed by bronchoscopy in all cases. The lacerations were longitudinal, 1-7 cm in length and were located in the distal membranous trachea. While ruptures detected intraoperatively were repaired during the surgery, the others were treated conservatively. No mortality was observed among cases treated surgically. However, three of the cases treated conservatively died (50%), and the cause of death was the underlying disease requiring intubation. Conclusion: We are in the opinion that primary disease is a determinant of patient outcome. Except cases identified during surgery, emergency surgical interventions should be preferred in patients, in whom ventilation cannot be achieved. On the other hand, bronchoscopic fibrin glue instillation should additively be applied to conservative treatment of tracheal lacerations.展开更多
Tracheal and bronchial injuries are life-threatening traumas that usually develop after traffic accidents or a fall from heights. The most common cause is motor vehicle accidents. Tracheobronchial injuries develop in ...Tracheal and bronchial injuries are life-threatening traumas that usually develop after traffic accidents or a fall from heights. The most common cause is motor vehicle accidents. Tracheobronchial injuries develop in 1%-2% of blunt thoracic traumas. The mortality rate is 30% in these patients and deaths usually occur within the first hours. Sixty five percent of surviving patients are diagnosed in later periods where complications are frequent. In conclusion, clinical evaluation and diagnostic tests should be performed immediately and carefully. In this study, a patient who developed tracheal rupture after blunt cervical and thoracic trauma was presented.展开更多
文摘Objective: Iatrogenic tracheal rupture is a rare, but life-threatening complication of orotracheal intubation. In this retrospective study, etiology, and diagnostic and therapeutic approaches for iatrogenic tracheal ruptures were reviewed. Method: Eleven patients (6 males and 5 females) were diagnosed and treated for iatrogenic tracheal rupture in our clinic. The laceration occurred after orotracheal intubation in 7 cases, and during percutaneous tracheostomy and emergency tracheostomy in the other four cases, respectively. Diagnosis was made during thoracic surgery in 5 cases. The remaining cases were diagnosed in the post-operative period;the most common symptoms were mediastinal and subcutenous emphysema and pneumothorax. Results: The diagnosis was confirmed by bronchoscopy in all cases. The lacerations were longitudinal, 1-7 cm in length and were located in the distal membranous trachea. While ruptures detected intraoperatively were repaired during the surgery, the others were treated conservatively. No mortality was observed among cases treated surgically. However, three of the cases treated conservatively died (50%), and the cause of death was the underlying disease requiring intubation. Conclusion: We are in the opinion that primary disease is a determinant of patient outcome. Except cases identified during surgery, emergency surgical interventions should be preferred in patients, in whom ventilation cannot be achieved. On the other hand, bronchoscopic fibrin glue instillation should additively be applied to conservative treatment of tracheal lacerations.
文摘Tracheal and bronchial injuries are life-threatening traumas that usually develop after traffic accidents or a fall from heights. The most common cause is motor vehicle accidents. Tracheobronchial injuries develop in 1%-2% of blunt thoracic traumas. The mortality rate is 30% in these patients and deaths usually occur within the first hours. Sixty five percent of surviving patients are diagnosed in later periods where complications are frequent. In conclusion, clinical evaluation and diagnostic tests should be performed immediately and carefully. In this study, a patient who developed tracheal rupture after blunt cervical and thoracic trauma was presented.
