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Post-intubation tracheal injury: report of three cases and literature review.

Authors :
Medina CR
Camargo Jde J
Felicetti JC
Machuca TN
Gomes Bde M
Melo IA
Source :
Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia [J Bras Pneumol] 2009 Aug; Vol. 35 (8), pp. 809-13.
Publication Year :
2009

Abstract

Post-intubation tracheal injury is a rare and potentially fatal complication. Among the most common causes, cuff overinflation and repetitive attempts of orotracheal intubation in emergency situations are paramount. Diagnosis is based on clinical and radiological suspicion, confirmed by fiberoptic bronchoscopy. Both conservative and surgical management apply, and the decision-making process depends on the patient profile (comorbidities, respiratory stability), characteristics of the lesion (size and location) and the time elapsed between the occurrence of the injury and the diagnosis. We report the cases of three patients presenting tracheal laceration due to traumatic orotracheal intubation, two submitted to surgical treatment and one submitted to conservative treatment.

Details

Language :
English
ISSN :
1806-3756
Volume :
35
Issue :
8
Database :
MEDLINE
Journal :
Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia
Publication Type :
Academic Journal
Accession number :
19750335
Full Text :
https://doi.org/10.1590/s1806-37132009000800014