Non-surgical treatment in iatrogenic tracheal rupture

Cuesta, Patricia Ruiz; Cantos, R.; Sanchez, M. J.; Gerónimo, M.; Company, Ruiz

doi:10.1097/00003643-201006121-00602

Cited by 2 publications

(2 citation statements)

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“…Surgical intervention is required in cases when loss of continuity of the rupture at the proximal and distal ends of trachea occurs. However, a study by Cuesta et al showed that conservative management is effective regardless of causation, size or site of injury.…”

Section: Discussionmentioning

confidence: 99%

Tracheal rupture related to endotracheal intubation after thyroid surgery: a case report and systematic review

Xing

Chang

et al. 2014

International Wound Journal

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Tracheobronchial rupture is an uncommon but potentially serious complication of endotracheal intubation. The most likely cause of tracheal injury is massive overinflation of the endotracheal tube cuff and pre-existing tracheal wall weakness. We review the relevant literature and predisposing factors contributing to this complication. Only articles that reported at least the demographic data (age and sex), the treatment performed and the outcome were included. Papers that did not detail these variables were excluded. We also focus on a case of tracheal laceration after tracheal intubation in a patient with severe thyroid carcinoma. This patient received surgical repair and recovered uneventfully. Two hundred and eight studies that reported cases or case series were selected for analysis. Most of the reported cases (57·2%) showed an uneventful recovery after surgical therapy. The overall mortality was 19·2% (40 patients). Our patient too recovered without any serious complication. Careful prevention, early detection and proper treatment of the problem are necessary when tracheal rupture occurs. The morbidity and mortality associated with tracheal injury mandate a high level of suspicion and expedient management.

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Section: Discussionmentioning

confidence: 99%

Tracheal rupture related to endotracheal intubation after thyroid surgery: a case report and systematic review

Xing

Chang

et al. 2014

International Wound Journal

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“…Surgical intervention is also recommended for complicated cases with rupture that extends into the main bronchi [4]. A study done by Cuesta et al showed that conservative management is effective regardless of causation, size, or site of injury [7]. Conservative therapy includes orotracheal intubation, IV antibiotics, and parenteral nutrition.…”

Section: Discussionmentioning

confidence: 99%

Intraoperatively Diagnosed Tracheal Tear after Using an NIM EMG ETT with Previously Undiagnosed Tracheomalacia

Joshi

Mardakh²,

Yarmush³

et al. 2013

Case Reports in Anesthesiology

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Tracheal rupture is a rare complication of endotracheal intubation. We present a case of tracheal rupture that was diagnosed intraoperatively after the use of an NIM EMG endotracheal tube. A 66-year-old female with a recurrent multinodular goiter was scheduled for total thyroidectomy. Induction of anesthesia was uncomplicated. Intubation was atraumatic using a 6 mm NIM EMG endotracheal tube (ETT). Approximately 90 minutes into the surgery, a tracheal tear was suspected. After confirming the diagnosis, conservative treatment with antibiotic coverage was favored. The patient made a full recovery with no complications. Diagnosis of the tracheal tear was made intraoperatively, prompting early management.

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Non-surgical treatment in iatrogenic tracheal rupture

Cited by 2 publications

References 0 publications

Tracheal rupture related to endotracheal intubation after thyroid surgery: a case report and systematic review

Tracheal rupture related to endotracheal intubation after thyroid surgery: a case report and systematic review

Intraoperatively Diagnosed Tracheal Tear after Using an NIM EMG ETT with Previously Undiagnosed Tracheomalacia

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