Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Postintubation Tracheal Ruptures - A case report -

  • Kim, Kyung-Hwa (Department of Thoracic and Cardiovascular Surgery, Chonbuk National University Hospital, Chonbuk National University Medical School) ;
  • Kim, Min-Ho (Department of Thoracic and Cardiovascular Surgery, Chonbuk National University Hospital, Chonbuk National University Medical School) ;
  • Choi, Jong-Bum (Department of Thoracic and Cardiovascular Surgery, Chonbuk National University Hospital, Chonbuk National University Medical School) ;
  • Kuh, Ja-Hong (Department of Thoracic and Cardiovascular Surgery, Chonbuk National University Hospital, Chonbuk National University Medical School) ;
  • Jo, Jung-Ku (Department of Thoracic and Cardiovascular Surgery, Chonbuk National University Hospital, Chonbuk National University Medical School) ;
  • Park, Hyun-Kyu (Department of Thoracic and Cardiovascular Surgery, Chonbuk National University Hospital, Chonbuk National University Medical School)
  • Received : 2010.10.22
  • Accepted : 2011.05.10
  • Published : 2011.06.05
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Abstract

Tracheobronchial ruptures (TBR) rarely complicate surgical procedures under general anesthesia. Seemingly uneventful intubations can result in injury to the trachea, which often manifests as hemoptysis and subcutaneous emphysema. We present 2 patients with postintubation TBR who were treated surgically and discuss considerations in the management of this potentially lethal injury.

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References

  1. Marty-Ane CH, Picard E, Jonquet O, et al. Membranous tracheal rupture after endotracheal intubation. Ann Thorac Surg 1995;60:1367-71. https://doi.org/10.1016/0003-4975(95)00643-Y
  2. Minambres E, Buron J, Ballesteros MA, et al. Tracheal rupture after endotracheal intubation: a literature systematic review. Eur J Cardiothorac Surg 2009;35:1056-62. https://doi.org/10.1016/j.ejcts.2009.01.053
  3. Conti M, Marie P, Marquette CH, et al. Management of postintubation tracheobronchial ruptures. CHEST 2006;130:412-8. https://doi.org/10.1378/chest.130.2.412
  4. Chen EH, Logman ZM, Glass PS, et al. A case of tracheal injury after emergent endotracheal intubation: a review of the literature and causalities. Anesth Analg 2001;93:1270-1. https://doi.org/10.1097/00000539-200111000-00047
  5. Kaloud H, Smolle-Juettner FM, Prause G, et al. Iatrogenic ruptures of the tracheobronchial tree. CHEST 1997;112:774-8. https://doi.org/10.1378/chest.112.3.774
  6. Park SI, Won JH, Lee CK. Tracheal rupture following double lumen endotracheal tube intubation. Korean J Thorac Cardiovasc Surg 1999;32:765-7.
  7. Jougon J, Ballester M, Choukroun E, et al. Conservative treatment for postintubation tracheobronchial rupture. Ann Thorac Surg 2000;69:216-20. https://doi.org/10.1016/S0003-4975(99)01129-7
  8. Sippel M, Putensen C, Hirner A, et al. Tracheal rupture after endotracheal intubation: experience with management in 13 cases. Thorac Cardiovasc Surg 2006;54:51-6. https://doi.org/10.1055/s-2005-865917
  9. Philip AF, Christopher WS, Robert JW, et al. Nonoperative management of postintubation tracheal injuries. Ann Thorac Surg 2010;89:1265-6. https://doi.org/10.1016/j.athoracsur.2009.07.093
  10. Gabor S, Renner H, Pinter H, et al. Indications for surgery in tracheobronchial ruptures. Eur J Cardiothorac Surg 2001;20:399-404. https://doi.org/10.1016/S1010-7940(01)00798-9
  11. Yopp AC, Eckstein JG, Savel RH, et al. Tracheal stenting of iatrogenic tracheal injury: a novel management approach. Ann Thorac Surg 2007;83:1897-9. https://doi.org/10.1016/j.athoracsur.2006.12.040

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