Injuries to the major airway after blunt thoracic trauma in children: review of 2 cases

Jamal-Eddine, Hassan; Ayed, Adel K.; Perić, Miodrag; Ben-Nakih, Muneera E.

doi:10.1016/j.jpedsurg.2006.12.043

Cited by 9 publications

(4 citation statements)

References 7 publications

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“…Optimal timing for surgery seems to be during the first 48 hours, when finding the ruptured segment is easy but becomes difficult in chronic cases [4,5]. Therefore, as in our case, emergency bronchoscopy is the most useful and accurate method in all cases with a suspicion of tracheobronchial injury.…”

Section: Discussionmentioning

confidence: 74%

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Tracheobronchial Rupture due to Compression Under a Cannon Barrel

Eşme¹,

Solak²,

Öcalan³

2012

Tur Toraks Der

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Tracheobronchial ruptures following blunt thoracic trauma are rare in children. To our knowledge, there is no reported case of tracheobronchial rupture due to compression under the barrel of a cannon. The involvement of both the trachea and right main bronchus is highly unusual. The case of a 16-year-old boy with both distal tracheal and right main bronchial ruptures following blunt chest trauma is herein reported, in which we emphasize the need for a prompt diagnosis and appropriate management. (

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Section: Discussionmentioning

confidence: 74%

“…Tracheobronchial ruptures are rare in children, the incidence being between 0.7% and 2.8% [4,5]. Eighty percent of tracheobronchial rupture occurs within 2.5 cm of the carina, 15% involve the trachea, and 5% involve more distal airways [2,3].…”

Section: Discussionmentioning

confidence: 99%

Tracheobronchial Rupture due to Compression Under a Cannon Barrel

Eşme¹,

Solak²,

Öcalan³

2012

Tur Toraks Der

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“…[5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21] The median time from initial injury to presentation was 6 months. The earliest return to the hospital was 2 weeks after the initial injury, and 2 cases were delayed 20 years.…”

Section: Resultsmentioning

confidence: 99%

Delayed Presentation and Treatment of Tracheobronchial Injuries Due to Blunt Trauma

Glazer

Meyerson

2008

Journal of Surgical Education

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“…After proper depth of insertion, the tracheal capsule should be inflated and checked manually for the existence of air leakage. When conditions permit, fiberoptic bronchoscope-guided intubation can be performed awake under superficial anesthesia to avoid tracheal reinjury caused by blind intubation and intubation difficulties caused by extensive subcutaneous emphysema of neck and chest [15][16][17][18][19]. After surgery, the head bending position should be maintained to reduce the anastomotic tension, provide perfect analgesia, reduce the anxiety of patients, and improve the prognosis [1].…”

Section: Discussionmentioning

confidence: 99%

Anesthesia Management of Trachea Reconstruction in a Patient with Traumatic Neck Closed Tracheal Complete Rupture

Yang,

Chen,

2023

IJACM

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Closed cervical tracheal rupture caused by trauma is a rare clinical emergency severe disease. We report the anesthesia experience of a 37-year-old male patient undergoing emergency tracheal reconstruction surgery due to a traumatic neck closed tracheal complete rupture. The patient was conscious and hoarse when entering the operation room, complained of dyspnea during inspirations, maxillofacial neck swelling, obvious subcutaneous crepitus of neck by palpation, and limited mouth opening. Mallampati grade III, neck movement was limited due to pain, and difficulty in intubation was considered in combination with the patient's neck, chest computed tomography (CT) and airway evaluation. Failure of intubation after the administration of muscle relaxants may result in rapid difficulty in establishing a surgical airway. Intubation under the guidance of awake bronchoscopy may fail to reach the distal tracheal end, and may lead to increased airway injury and inability to maintain ventilation. In order to ensure the safety of patient, it was decided to explore the neck incision under local anesthesia, find the broken end of the trachea, insert the endotracheal tube at the distal end, and then perform general anesthesia to control the airway. Intraoperative vital signs were stable of the patient. After the operation, the tracheostomy tube was changed and transferred the patient to ICU for further treatment. Patients with cervical tracheal rupture, establishing airway under local anesthesia with preserve the patient's spontaneous breathing combined sedation is a selection of security technology.

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Injuries to the major airway after blunt thoracic trauma in children: review of 2 cases

Cited by 9 publications

References 7 publications

Tracheobronchial Rupture due to Compression Under a Cannon Barrel

Tracheobronchial Rupture due to Compression Under a Cannon Barrel

Delayed Presentation and Treatment of Tracheobronchial Injuries Due to Blunt Trauma

Anesthesia Management of Trachea Reconstruction in a Patient with Traumatic Neck Closed Tracheal Complete Rupture

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