Home > Medical Research Archives > Issue 149 > Iatrogenic tracheobronchial rupture after emergency intubation
Published in the Medical Research Archives
Jul 2020 Issue
Iatrogenic tracheobronchial rupture after emergency intubation
Published on Jul 26, 2020
DOI
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.
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