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Iatrogenic tracheobronchial rupture.

Paraschiv M - J Med Life (2014)

Bottom Line: Iatrogenic tracheobronchial ruptures most frequently occur during tracheal intubation, but they can also be produced during tracheobronchial endoscopy or thoracic surgery.There are also less symptomatic presentations.The therapeutic approach can be differentiated, surgical or conservative, although the criteria are not universally accepted.

View Article: PubMed Central - PubMed

Affiliation: General Surgery Clinic, "Bagdasar-Arseni" Emergency Hospital, Bucharest.

ABSTRACT
Iatrogenic tracheobronchial ruptures most frequently occur during tracheal intubation, but they can also be produced during tracheobronchial endoscopy or thoracic surgery. The clinical presentation can be brutal, with respiratory failure, cervical emphysema, pneumothorax and hemoptysis. There are also less symptomatic presentations. The diagnosis is confirmed by bronchoscopy. The therapeutic approach can be differentiated, surgical or conservative, although the criteria are not universally accepted. This article aims to review the indications and therapeutic options.

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Related in: MedlinePlus

Endoscopic appearance of a large tracheal rupture with esophageal wall protrusion
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Figure 4: Endoscopic appearance of a large tracheal rupture with esophageal wall protrusion

Mentions: Bronchoscopy (Fig. 4) is the only investigation that can confirm the diagnosis of tracheobronchial rupture, directly visualizing the lesion, showing the exact location, extension (length and depth), and eventual herniation of the esophageal wall into the tracheal lumen. It may help in the planning of the therapeutic approach and can be used to reposition the tube or to re-intubate the patient.


Iatrogenic tracheobronchial rupture.

Paraschiv M - J Med Life (2014)

Endoscopic appearance of a large tracheal rupture with esophageal wall protrusion
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4233436&req=5

Figure 4: Endoscopic appearance of a large tracheal rupture with esophageal wall protrusion
Mentions: Bronchoscopy (Fig. 4) is the only investigation that can confirm the diagnosis of tracheobronchial rupture, directly visualizing the lesion, showing the exact location, extension (length and depth), and eventual herniation of the esophageal wall into the tracheal lumen. It may help in the planning of the therapeutic approach and can be used to reposition the tube or to re-intubate the patient.

Bottom Line: Iatrogenic tracheobronchial ruptures most frequently occur during tracheal intubation, but they can also be produced during tracheobronchial endoscopy or thoracic surgery.There are also less symptomatic presentations.The therapeutic approach can be differentiated, surgical or conservative, although the criteria are not universally accepted.

View Article: PubMed Central - PubMed

Affiliation: General Surgery Clinic, "Bagdasar-Arseni" Emergency Hospital, Bucharest.

ABSTRACT
Iatrogenic tracheobronchial ruptures most frequently occur during tracheal intubation, but they can also be produced during tracheobronchial endoscopy or thoracic surgery. The clinical presentation can be brutal, with respiratory failure, cervical emphysema, pneumothorax and hemoptysis. There are also less symptomatic presentations. The diagnosis is confirmed by bronchoscopy. The therapeutic approach can be differentiated, surgical or conservative, although the criteria are not universally accepted. This article aims to review the indications and therapeutic options.

Show MeSH
Related in: MedlinePlus