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Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications
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Tracheostomy-related Tracheal Tears in Pediatrics

Mazyad Alenezi1, Ali Alsudays2, Sultan Alanazy3

  • 1Department of Otolaryngology Head and Neck Surgery, College of Medicine, Qassim University, Buriyadh, Qassim, Kingdom of Saudi Arabia.

The Open Respiratory Medicine Journal
|June 5, 2023
PubMed

Insights

Tracheal tears from tracheostomy are a rare but serious complication, especially in children. Prompt diagnosis and management, guided by endoscopy and patient stability, are crucial for preventing life-threatening outcomes.

Area of Science:

  • Pediatric Surgery
  • Otolaryngology
  • Critical Care Medicine

Background:

  • Tracheostomy-related tracheal tear is a severe complication following surgical or percutaneous tracheostomy.
  • Pediatric patients face increased risk due to anatomical variations.

Purpose of the Study:

  • To review tracheostomy-related tracheal tears in pediatric patients.
  • To aid in the diagnosis and management of this complication using clinical and radiological findings.

Main Methods:

  • A literature review was conducted using keywords: pediatric, tracheostomy, tracheal tear, and tracheostomy tube.
  • Two relevant cases from existing literature were included for analysis.

Main Results:

  • Tracheal tears can lead to severe outcomes like pneumothorax and respiratory distress.
  • Diagnosis is confirmed via tracheobronchoscopy, guiding treatment decisions.

Conclusions:

  • Tracheostomy-related tracheal tears require immediate diagnosis and management.
  • Treatment (conservative or surgical) depends on tear severity and patient's hemodynamic status.
Abstract

Keywords:
PediatricTracheal tearTracheobronchial tearsTracheobronchoscopyTracheostomyTracheostomy tube

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