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Updated: Jul 16, 2025

Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications
Published on: March 15, 2024
[Tracheal rupture treated with robotic surgery: the importance of evidence-based practice in nursing management. A
Stefano Migliaccio1, Ernesto Cammarano1, Giulia Brizzi1
1Terapia Intensiva Cardiotoracovascolare, Dipartimento di Anestesia e Rianimazione, Azienda Ospedaliera Universitaria Pisana, Pisa, Italia.
Abstract:
. Tracheal rupture treated with robotic surgery: the importance of evidence-based practice in nursing management. A case report. Tracheal rupture is a very rare condition with high morbidity and mortality. While it has a multifactorial etiology, however it occurs most frequently after orotracheal intubation. The case of a 76-year-old woman who underwent out-of-hospital orotracheal intubation for severe respiratory failure due to a state of coma is described. The patient suddenly developed a subcutaneous emphysema extending from the chest to the skull due to tracheal laceration. The management of the case is described with special focus on nursing goals to prevent ventilator associated pneumonia and mediastinitis, avoid the endotracheal tube dislocation and further tracheal injuries. The case presented underlines the importance of a systematic recourse to evidence-based practice (EBP), which allowed to effectively manage a complex situation.
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