Trachealverletzung nach dilatativer Tracheotomie: Eine erfolgreiche konservative Behandlung
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Trachealverletzung nach dilatativer Tracheotomie: Eine erfolgreiche konservative Behandlung. / Eichler, L; Simon, M; Kluge, S.
In: MED KLIN-INTENSIVMED, Vol. 112, No. 7, 10.2017, p. 629-631.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Trachealverletzung nach dilatativer Tracheotomie: Eine erfolgreiche konservative Behandlung
AU - Eichler, L
AU - Simon, M
AU - Kluge, S
PY - 2017/10
Y1 - 2017/10
N2 - During bronchoscopically guided percutaneous dilatational tracheostomy, a 71-year-old woman suffered a long-stretched tear to the posterior tracheal wall. The injury was suspected to be caused by blunt trauma during dilation or cannula insertion, possibly aggravated by vigorous cuff inflation. Since the defect ended just 0.5 cm proximal to the main carina, placing a cuffed endotracheal tube beyond the injury was not an option. However, we decided for a conservative treatment approach by placing a cuffed endotracheal tube under bronchoscopic visualization in direct proximity to the cranial end of the laceration. The further course of the patient was uneventful and complete healing was documented by bronchoscopic inspection on a regular basis.
AB - During bronchoscopically guided percutaneous dilatational tracheostomy, a 71-year-old woman suffered a long-stretched tear to the posterior tracheal wall. The injury was suspected to be caused by blunt trauma during dilation or cannula insertion, possibly aggravated by vigorous cuff inflation. Since the defect ended just 0.5 cm proximal to the main carina, placing a cuffed endotracheal tube beyond the injury was not an option. However, we decided for a conservative treatment approach by placing a cuffed endotracheal tube under bronchoscopic visualization in direct proximity to the cranial end of the laceration. The further course of the patient was uneventful and complete healing was documented by bronchoscopic inspection on a regular basis.
U2 - 10.1007/s00063-016-0255-8
DO - 10.1007/s00063-016-0255-8
M3 - SCORING: Zeitschriftenaufsatz
C2 - 28078354
VL - 112
SP - 629
EP - 631
JO - MED KLIN-INTENSIVMED
JF - MED KLIN-INTENSIVMED
SN - 2193-6218
IS - 7
ER -