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Tracheobronchial lacerations after intubation and tracheostomy
G Massard1, C Rougé, A Dabbagh
1Department of Thoracic Surgery, University Hospital of Strasbourg, France.
The Annals of Thoracic Surgery
|May 1, 1996
Summary
Acute airway access complications like tracheobronchial lacerations are rare but serious. Prompt diagnosis and treatment are crucial for patient prognosis, alongside their overall health status.
Area of Science:
- Medical research
- Surgical complications
- Airway management
Background:
- Long-term complications of intubation and tracheostomy are known.
- Acute complications of airway access techniques are less understood.
Purpose of the Study:
- To investigate acute complications of airway access techniques.
- To report on tracheobronchial lacerations.
Main Methods:
- Retrospective analysis of 14 patients with tracheobronchial lacerations.
- Patients underwent single-lumen intubation, double-lumen intubation, or tracheostomy.
- Diagnosis was confirmed via endoscopy and imaging.
Main Results:
- Tracheobronchial lacerations occurred after various airway access methods.
- Mediastinal and subcutaneous emphysema were common findings.
- Most injuries were repaired surgically, with good healing outcomes; two tracheostomy patients died.
Conclusions:
- Prognosis of tracheal lacerations is influenced by patient health.
- Rapidity of diagnosis and treatment significantly impacts outcomes.
- Airway access techniques can lead to acute tracheobronchial injuries.