Tracheal rupture after endotracheal intubation - A report of three cases -

被引：31

作者：

Lim, Hyungsun ^{[1
]}

Kim, Jung Hee ^{[1
]}

Kim, Deokkyu ^{[1
]}

Lee, Jeongwoo ^{[1
]}

Son, Ji Seon ^{[1
]}

Kim, Dong Chan ^{[1
]}

Ko, Seonghoon ^{[1
]}

机构：

[1] Chonbuk Natl Univ, Sch Med, Dept Anesthesiol & Pain Med, 634-18 Geumam, Jeonju 561712, South Korea

来源：

KOREAN JOURNAL OF ANESTHESIOLOGY | 2012年 / 62卷 / 03期

关键词：

Airway; Intubation; Rupture; Subcutaneous emphysema; Trachea;

D O I：

10.4097/kjae.2012.62.3.277

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Tracheal rupture is a rare but serious complication that occurs after endotracheal intubation. It usually presents as a linear lesion in the membranous wall of the trachea, and is more prevalent in women and patients older than 50 years. The clinical manifestations of tracheal injury include subcutaneous emphysema and respiratory distress. We report the cases of three female patients of old age presenting tracheal rupture after endotracheal intubation. Two cases received surgical repair without complication and one recovered uneventfully after conservative management. We presume that the tracheal injuries were caused by over-inflation of cuff and sudden movement of the tube by positional change. Therefore, we recommend cuff pressure monitoring during general anesthesia and minimized movement of the head and neck at positional change.

引用

页码：277 / 280

页数：4

共 15 条

[1] Post-intubation tracheal rupture. A report on ten cases [J].