Iatrogenic tracheobronchial rupture after emergency intubation

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Published Jul 26, 2020
DOI: https://doi.org/10.18103/mra.v8i7.2186

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Holger Rupprecht
Surgical Department 1, Clinical Center Fürth, Fürth, Bavaria, Germany 90766
Harald Dormann
Emergency Department, Clinical Center Fürth, Fürth, Bavaria, Germany 90766
Katharina Gaab
Surgical Department 1, Clinical Center Fürth, Fürth, Bavaria, Germany 90766

Abstract

Tracheal rupture is a rare but serious complication after endotracheal intubation.


We report the case of an 85-years-old female patient presenting a massive skin emphysema after endotracheal emergency intubation. A CT-scan of the thorax showed a massive mediastinal emphysema and a dislocated tube cuff in the pleural cavity. The implemented bronchoscopy also showed the suspicion for tracheal rupture.


A double-lumen-tube-intubation failed due to a trapped tube cuff, which could not be extracted.  In the following emergency surgery, the transthoracic intubation of the left main bronchus was the lifesaving procedure. Afterwards a successful tracheal reconstruction was made. 


When tracheal rupture occurs early detection and an accurate treatment is necessary.

Keywords: Emergency intubation, cardiopulmonary resuscitation, tracheobronchial rupture, transthoracic bronchial intubation

Article Details

How to Cite
RUPPRECHT, Holger; DORMANN, Harald; GAAB, Katharina. Iatrogenic tracheobronchial rupture after emergency intubation. Medical Research Archives, [S.l.], v. 8, n. 7, july 2020. ISSN 2375-1924. Available at: <https://esmed.org/MRA/mra/article/view/2186>. Date accessed: 18 apr. 2024. doi: https://doi.org/10.18103/mra.v8i7.2186.
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Issue
Vol 8 No 7 (2020): Vol.8 Issue 7, July, 2020
Section
Research Articles

The Medical Research Archives grants authors the right to publish and reproduce the unrevised contribution in whole or in part at any time and in any form for any scholarly non-commercial purpose with the condition that all publications of the contribution include a full citation to the journal as published by the Medical Research Archives.

 

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