Tracheal Rupture After Emergent Endotracheal Intubation

被引:1
作者
Chang, Yin-Lung [1 ]
Chien, Nai-Chuan [2 ]
Hsu, Szu-Yi [1 ]
Lai, Yu-Yung [1 ]
机构
[1] Buddhist Dalin Tzu Chi Gen Hosp, Dept Anesthesiol, 2 Min Sheng Rd, Chiayi, Taiwan
[2] Buddhist Dalin Tzu Chi Gen Hosp, Dept Thorac Surg, Chiayi, Taiwan
来源
TZU CHI MEDICAL JOURNAL | 2008年 / 20卷 / 03期
关键词
Emergency; Intubation; Rupture; Tracheal;
D O I
10.1016/S1016-3190(08)60042-7
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Tracheal rupture after endotracheal intubation is a rare but serious complication. Its causes remain unclear but many physicians believe that weakness of the membranous trachea in patients with chronic illness is a leading factor. We present three patients who developed membranous tracheal rupture after emergent endotracheal intubation. Based on our experience and a review of the relevant literature, we emphasize selection of a correctly sized endotracheal tube to minimize the risk of rupture. Use of a smaller endotracheal tube in the emergent setting, especially for patients at potential risk of rupture due to steroid use or chronic illness, is highly recommended.
引用
收藏
页码:227 / 231
页数:5
相关论文
共 16 条
[1]  
*AM HEART ASS COLL, 2000, CIRCULATION, V102, pI22
[2]  
Besmer I, 2001, ANAESTHESIST, V50, P167, DOI 10.1007/s001010050984
[3]  
Bessa Júnior Roberto Cardoso, 2005, Rev. Bras. Anestesiol., V55, P660, DOI 10.1590/S0034-70942005000600009
[4]   Management of postintubation membranous tracheal rupture [J].
Carbognani, P ;
Bobbio, A ;
Cattelani, L ;
Internullo, E ;
Caporale, D ;
Rusca, M .
ANNALS OF THORACIC SURGERY, 2004, 77 (02) :406-409
[5]   A case of tracheal injury after emergent endotracheal intubation: A review of the literature and causalities [J].
Chen, EH ;
Logman, ZM ;
Glass, PSA ;
Bilfinger, TV .
ANESTHESIA AND ANALGESIA, 2001, 93 (05) :1270-1271
[6]   Using CT to diagnose tracheal rupture [J].
Chen, JD ;
Shanmuganathan, K ;
Mirvis, SE ;
Kileen, KL ;
Dutton, RP .
AMERICAN JOURNAL OF ROENTGENOLOGY, 2001, 176 (05) :1273-1280
[7]   Neonatal tracheal rupture complicating endotracheal intubation: a case report and indications for conservative management [J].
Doherty, KM ;
Tabaee, A ;
Castillo, M ;
Cherukupally, SR .
INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY, 2005, 69 (01) :111-116
[8]   Prediction of tracheal tube size in children using multiple variables [J].
Eck, JB ;
Dear, GD ;
Phillips-Bute, BG ;
Ginsberg, B .
PAEDIATRIC ANAESTHESIA, 2002, 12 (06) :495-498
[9]   Tracheal rupture complicating emergent endotracheal intubation [J].
Fan, CM ;
Ko, PCI ;
Tsai, KC ;
Chiang, WC ;
Chang, MC ;
Chen, WJ ;
Yuan, A .
AMERICAN JOURNAL OF EMERGENCY MEDICINE, 2004, 22 (04) :289-293
[10]   Acute tracheal rupture related to endotracheal intubation: Case report [J].
Harris, R ;
Joseph, A .
JOURNAL OF EMERGENCY MEDICINE, 2000, 18 (01) :35-39