Conservative Treatment of Severe Tracheal Laceration After Endotracheal Intubation

Authors: Chang, Cheng-Yu; Cheng, Shih-Lung; Chang, Shih-Chieh

Source: Respiratory Care, Volume 56, Number 6, June 2011 , pp. 861-862(2)

Publisher: The Journal Respiratory Care Company

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Abstract:

Endotracheal intubation can lead to iatrogenic trauma to the upper airways. Superficial mucosal tears in the mouth, pharynx, or larynx are common and can cause secondary infection and acute respiratory distress due to massive air leak. We report a patient who sustained a severe 5-cm tracheal laceration and subcutaneous emphysema after intubation. She was successfully weaned from the ventilator after adjustment of the endotracheal cuff, therapy with broad-spectrum antibiotics, and continuous airway humidification.

Keywords: endotracheal intubation; subcutaneous emphysema; tracheal laceration

Document Type: Research Article

DOI: http://dx.doi.org/10.4187/respcare.00891

Affiliations: Department of Chest Medicine, Far Eastern Memorial Hospital, Taipei, Taiwan

Publication date: June 1, 2011

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