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

页码：227 / 231

页数：5

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