IATROGENIC TRACHEAL RUPTURE CAUSED BY EMERGENCY INTUBATION: A CASE REPORT

被引：4

作者：

Schaeffer, Christopher ^{[1
,2
]}

Galas, Thomas ^{[1
]}

Teruzzi, Bettina ^{[3
]}

Sudrial, Jerome ^{[4
]}

Allou, Nicolas ^{[1
]}

Martinet, Olivier ^{[1
]}

机构：

[1] CHU La Reunion, Serv Reanimat Polyvalente, Site Felix Guyon,Allee Topazes, St Denis De La Reunion, France

[2] CHR Hotel Dieu, Serv Accueil Urgences, Mont St Martin, France

[3] Newcastle Univ, Newcastle, England

[4] CHU La Reunion, Serv Accueil Urgences, Site Felix Guyon,Allee Topazes, St Denis De La Reunion, France

来源：

JOURNAL OF EMERGENCY MEDICINE | 2018年 / 55卷 / 01期

关键词：

prehospital; tracheal intubation; tracheal rupture; subcutaneous emphysema; TRACHEOBRONCHIAL INJURIES; MANAGEMENT; BOUGIE;

D O I：

10.1016/j.jemermed.2018.02.014

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Background: Iatrogenic tracheal rupture is a rare but life-threatening complication. If suspected by clinical examination or chest radiograph, a computed tomography scan can confirm the diagnosis, but the criterion standard is a bronchoscopy. There is no consensus on its management. Case Report: A 52-year-old woman was intubated in a prehospital setting after cardiac arrest. A gradual appearance of subcutaneous emphysema was observed after intubation. A computed tomography scan revealed a complicated tracheal rupture, pneumomediastinum, and pneumothorax. The management was surgical. Why Should An Emergency Physician Be Aware of This?: Intubation in emergency conditions increases the risk of tracheal rupture and a delay in management is an important prognostic factor. (C) 2018 Elsevier Inc. All rights reserved.

引用

页码：E15 / E18

页数：4

共 15 条

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