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Conservative management of post-intubation tracheal tears-report of three cases

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Conservative management of post-intubation tracheal tears-report of three cases. / Ovári, Attila; Just, Tino; Dommerich, Steffen; Hingst, Volker; Böttcher, Arne; Schuldt, Tobias; Guder, Ellen; Mencke, Thomas; Pau, Hans Wilhelm.

in: J THORAC DIS, Jahrgang 6, Nr. 6, 06.2014, S. E85-91.

Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung

Harvard

Ovári, A, Just, T, Dommerich, S, Hingst, V, Böttcher, A, Schuldt, T, Guder, E, Mencke, T & Pau, HW 2014, 'Conservative management of post-intubation tracheal tears-report of three cases', J THORAC DIS, Jg. 6, Nr. 6, S. E85-91. https://doi.org/10.3978/j.issn.2072-1439.2014.03.30

APA

Ovári, A., Just, T., Dommerich, S., Hingst, V., Böttcher, A., Schuldt, T., Guder, E., Mencke, T., & Pau, H. W. (2014). Conservative management of post-intubation tracheal tears-report of three cases. J THORAC DIS, 6(6), E85-91. https://doi.org/10.3978/j.issn.2072-1439.2014.03.30

Vancouver

Ovári A, Just T, Dommerich S, Hingst V, Böttcher A, Schuldt T et al. Conservative management of post-intubation tracheal tears-report of three cases. J THORAC DIS. 2014 Jun;6(6):E85-91. https://doi.org/10.3978/j.issn.2072-1439.2014.03.30

Bibtex

@article{50090161499244d69b9c6f2c6aa3923d,
title = "Conservative management of post-intubation tracheal tears-report of three cases",
abstract = "Iatrogenic tracheal rupture is a rare complication after intubation. We present three patients with tracheal tears. In all of these patients, a common finding was a lesion of the posterior tracheal wall with postoperative subcutaneous and emphysema as the first clinical sign of the rupture. Diagnosis and follow-up were based on clinical and endoscopic findings and chest computed tomography (CT) scans. In our cases with progressive subcutaneous and mediastinal emphysema or dyspnea, we performed a tracheotomy and bypassed the lesion with a tracheostomy tube to avoid an increase in air leakage into the mediastinum. Under broad-spectrum antibiotic therapy, no mediastinitis occurred and all patients survived without sequelae. Closure of tracheostomy was scheduled for 1-2 months after tracheal injury. Analysis of surgical and anesthesiological procedures revealed no abnormalities and the accumulation of tracheal injuries was considered as accidental. We found that in clinically stable patients with spontaneous breathing and with no mediastinitis, a conservative management of tracheal tears is a safe procedure.",
keywords = "Journal Article",
author = "Attila Ov{\'a}ri and Tino Just and Steffen Dommerich and Volker Hingst and Arne B{\"o}ttcher and Tobias Schuldt and Ellen Guder and Thomas Mencke and Pau, {Hans Wilhelm}",
year = "2014",
month = jun,
doi = "10.3978/j.issn.2072-1439.2014.03.30",
language = "English",
volume = "6",
pages = "E85--91",
journal = "J THORAC DIS",
issn = "2072-1439",
publisher = "Pioneer Bioscience Publishing Company (PBPC)",
number = "6",

}

RIS

TY - JOUR

T1 - Conservative management of post-intubation tracheal tears-report of three cases

AU - Ovári, Attila

AU - Just, Tino

AU - Dommerich, Steffen

AU - Hingst, Volker

AU - Böttcher, Arne

AU - Schuldt, Tobias

AU - Guder, Ellen

AU - Mencke, Thomas

AU - Pau, Hans Wilhelm

PY - 2014/6

Y1 - 2014/6

N2 - Iatrogenic tracheal rupture is a rare complication after intubation. We present three patients with tracheal tears. In all of these patients, a common finding was a lesion of the posterior tracheal wall with postoperative subcutaneous and emphysema as the first clinical sign of the rupture. Diagnosis and follow-up were based on clinical and endoscopic findings and chest computed tomography (CT) scans. In our cases with progressive subcutaneous and mediastinal emphysema or dyspnea, we performed a tracheotomy and bypassed the lesion with a tracheostomy tube to avoid an increase in air leakage into the mediastinum. Under broad-spectrum antibiotic therapy, no mediastinitis occurred and all patients survived without sequelae. Closure of tracheostomy was scheduled for 1-2 months after tracheal injury. Analysis of surgical and anesthesiological procedures revealed no abnormalities and the accumulation of tracheal injuries was considered as accidental. We found that in clinically stable patients with spontaneous breathing and with no mediastinitis, a conservative management of tracheal tears is a safe procedure.

AB - Iatrogenic tracheal rupture is a rare complication after intubation. We present three patients with tracheal tears. In all of these patients, a common finding was a lesion of the posterior tracheal wall with postoperative subcutaneous and emphysema as the first clinical sign of the rupture. Diagnosis and follow-up were based on clinical and endoscopic findings and chest computed tomography (CT) scans. In our cases with progressive subcutaneous and mediastinal emphysema or dyspnea, we performed a tracheotomy and bypassed the lesion with a tracheostomy tube to avoid an increase in air leakage into the mediastinum. Under broad-spectrum antibiotic therapy, no mediastinitis occurred and all patients survived without sequelae. Closure of tracheostomy was scheduled for 1-2 months after tracheal injury. Analysis of surgical and anesthesiological procedures revealed no abnormalities and the accumulation of tracheal injuries was considered as accidental. We found that in clinically stable patients with spontaneous breathing and with no mediastinitis, a conservative management of tracheal tears is a safe procedure.

KW - Journal Article

U2 - 10.3978/j.issn.2072-1439.2014.03.30

DO - 10.3978/j.issn.2072-1439.2014.03.30

M3 - SCORING: Journal article

C2 - 24977034

VL - 6

SP - E85-91

JO - J THORAC DIS

JF - J THORAC DIS

SN - 2072-1439

IS - 6

ER -