Tracheal rupture after endotracheal intubation - A report of three cases -
Tracheal rupture is a rare but serious complication that occurs after endotracheal intubation. It usually presents as a linear lesion in the membranous wall of the trachea, and is more prevalent in women and patients older than 50 years. The clinical manifestations of tracheal injury include subcuta...
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Korean Society of Anesthesiologists
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doaj-140b263ac4294ee69a0fed17beae24cf2020-11-25T03:08:30ZengKorean Society of AnesthesiologistsKorean Journal of Anesthesiology2005-64192005-75632012-03-0162327728010.4097/kjae.2012.62.3.2777301Tracheal rupture after endotracheal intubation - A report of three cases -Hyungsun Lim0Jung Hee Kim1Deokkyu Kim2Jeongwoo Lee3Ji Seon Son4Dong Chan Kim5Seonghoon Ko6Department of Anesthesiology and Pain Medicine, Chonbuk National University Medical School, Jeonju, Korea.Department of Anesthesiology and Pain Medicine, Chonbuk National University Medical School, Jeonju, Korea.Department of Anesthesiology and Pain Medicine, Chonbuk National University Medical School, Jeonju, Korea.Department of Anesthesiology and Pain Medicine, Chonbuk National University Medical School, Jeonju, Korea.Department of Anesthesiology and Pain Medicine, Chonbuk National University Medical School, Jeonju, Korea.Department of Anesthesiology and Pain Medicine, Chonbuk National University Medical School, Jeonju, Korea.Department of Anesthesiology and Pain Medicine, Chonbuk National University Medical School, Jeonju, Korea.Tracheal rupture is a rare but serious complication that occurs after endotracheal intubation. It usually presents as a linear lesion in the membranous wall of the trachea, and is more prevalent in women and patients older than 50 years. The clinical manifestations of tracheal injury include subcutaneous emphysema and respiratory distress. We report the cases of three female patients of old age presenting tracheal rupture after endotracheal intubation. Two cases received surgical repair without complication and one recovered uneventfully after conservative management. We presume that the tracheal injuries were caused by over-inflation of cuff and sudden movement of the tube by positional change. Therefore, we recommend cuff pressure monitoring during general anesthesia and minimized movement of the head and neck at positional change.http://ekja.org/upload/pdf/kjae-62-277.pdfairwayintubationrupturesubcutaneous emphysematrachea |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Hyungsun Lim Jung Hee Kim Deokkyu Kim Jeongwoo Lee Ji Seon Son Dong Chan Kim Seonghoon Ko |
spellingShingle |
Hyungsun Lim Jung Hee Kim Deokkyu Kim Jeongwoo Lee Ji Seon Son Dong Chan Kim Seonghoon Ko Tracheal rupture after endotracheal intubation - A report of three cases - Korean Journal of Anesthesiology airway intubation rupture subcutaneous emphysema trachea |
author_facet |
Hyungsun Lim Jung Hee Kim Deokkyu Kim Jeongwoo Lee Ji Seon Son Dong Chan Kim Seonghoon Ko |
author_sort |
Hyungsun Lim |
title |
Tracheal rupture after endotracheal intubation - A report of three cases - |
title_short |
Tracheal rupture after endotracheal intubation - A report of three cases - |
title_full |
Tracheal rupture after endotracheal intubation - A report of three cases - |
title_fullStr |
Tracheal rupture after endotracheal intubation - A report of three cases - |
title_full_unstemmed |
Tracheal rupture after endotracheal intubation - A report of three cases - |
title_sort |
tracheal rupture after endotracheal intubation - a report of three cases - |
publisher |
Korean Society of Anesthesiologists |
series |
Korean Journal of Anesthesiology |
issn |
2005-6419 2005-7563 |
publishDate |
2012-03-01 |
description |
Tracheal rupture is a rare but serious complication that occurs after endotracheal intubation. It usually presents as a linear lesion in the membranous wall of the trachea, and is more prevalent in women and patients older than 50 years. The clinical manifestations of tracheal injury include subcutaneous emphysema and respiratory distress. We report the cases of three female patients of old age presenting tracheal rupture after endotracheal intubation. Two cases received surgical repair without complication and one recovered uneventfully after conservative management. We presume that the tracheal injuries were caused by over-inflation of cuff and sudden movement of the tube by positional change. Therefore, we recommend cuff pressure monitoring during general anesthesia and minimized movement of the head and neck at positional change. |
topic |
airway intubation rupture subcutaneous emphysema trachea |
url |
http://ekja.org/upload/pdf/kjae-62-277.pdf |
work_keys_str_mv |
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1724665941615181824 |