96 results match your criteria Tracheobronchial Tear


Management of post laryngectomy tracheobronchial tear with the aid of cardiopulmonary bypass.

J Clin Anesth 2019 Jan 14;55:128-129. Epub 2019 Jan 14.

Kasr Al Ainy School of Medicine, Faculty of Medicine, Cairo University, Cairo, Egypt.

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http://dx.doi.org/10.1016/j.jclinane.2018.12.057DOI Listing
January 2019

Penetrating shrapnel injury to the chest presenting as a delayed tracheoesophageal fistula (TEF). A case report.

Trauma Case Rep 2018 Oct 26;17:5-8. Epub 2018 Sep 26.

American University of Beirut Medical Center, Department of Surgery, Lebanon.

Tracheo-esophageal fistulae (TEF) due to trauma are rare. We report a case of a delayed TEF caused by a shrapnel from a blast. A 25-year-old male was admitted to the hospital after sustaining a blast injury. Read More

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http://dx.doi.org/10.1016/j.tcr.2018.09.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6178131PMC
October 2018
3 Reads

Major tracheobronchial injuries: Management of two rare cases.

Med J Malaysia 2018 Jun;73(3):177-179

Hospital Sultan Ismail, Department of Surgery, Johor Bahru, Malaysia.

Tracheobronchial injuries are uncommon and a high level of suspicion is needed for immediate diagnosis and prompt treatment. In this case series, two rare cases of tracheobronchial injuries is described showing variable clinical presentations with different levels of injury. Our first case was seen in a 20 years old male whom had a direct impact on the neck and presented with upper tracheal injury. Read More

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June 2018
14 Reads

Traumatic Tracheobronchial Laceration Causing Complete Tracheal Resection: Challenges of Anesthetic Management.

A A Pract 2018 Aug;11(4):109-111

From the Department of Anesthesiology, University of Texas Health Science Center at Houston, Houston, Texas.

We report the case of a 9-year-old girl who sustained blunt trauma to the chest and presented for emergent repair of a complete tracheobronchial laceration. Tracheobronchial laceration is potentially life threatening. While conservative management has been described for simple tears, more complex injuries require surgical repair. Read More

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http://dx.doi.org/10.1213/XAA.0000000000000756DOI Listing
August 2018
6 Reads

Simulation and the diagnostic process: a pilot study of trauma and rapid response teams.

Diagnosis (Berl) 2017 11;4(4):241-249

Division of Pediatric Anesthesiology, Washington University School of Medicine, St. Louis, MO, USA.

Background: Simulation is frequently used to recreate many of the crises encountered in patient care settings. Teams learn to manage these crises in an environment that maximizes their learning experiences and eliminates the potential for patient harm. By designing simulation scenarios that include conditions associated with diagnostic errors, teams can experience how their decisions can lead to errors. Read More

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http://dx.doi.org/10.1515/dx-2017-0010DOI Listing
November 2017
5 Reads

Iatrogenic tracheal laceration in the setting of chronic steroids.

J Clin Anesth 2017 Feb 22;37:38-42. Epub 2016 Dec 22.

Department of Anesthesiology, Penn State College of Medicine, Penn State Hershey, Medical Center, Hershey, PA 17033, USA.

We report the case of a 71-year-old woman with end-stage chronic obstructive pulmonary disease who presented with a 10-cm tracheal laceration from a presumed traumatic intubation in the setting of respiratory distress and chronic obstructive pulmonary disease exacerbation and subsequently developed significant subcutaneous emphysema along her neck and mediastinum in addition to her peritoneum and mesentery. We were successfully able to treat this patient conservatively up until the time that tracheostomy was warranted. We discuss and review tracheobronchial injuries with respect to etiology, risk factors, and management and hope to benefit health care providers managing airways in patients at risk for tracheal injury. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S09528180163097
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http://dx.doi.org/10.1016/j.jclinane.2016.10.043DOI Listing
February 2017
4 Reads
1.210 Impact Factor

Iatrogenic injuries to the trachea and main bronchi.

Kardiochir Torakochirurgia Pol 2016 Jun 30;13(2):113-6. Epub 2016 Jun 30.

Department of Thoracic Surgery, Jagiellonian University Medical College, John Paul II Hospital, Krakow, Poland.

Introduction: Iatrogenic tracheobronchial injuries are rare.

Aim: To analyse the mechanism of injury, symptoms and treatment of these patients.

Material And Methods: Retrospective analysis of hospital records of all patients treated for main airway injuries between 1990 and 2012 was performed. Read More

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http://dx.doi.org/10.5114/kitp.2016.61043DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4971264PMC
June 2016
16 Reads

Right main bronchial fracture resolution by digital thoracic drainage system.

Asian Cardiovasc Thorac Ann 2016 Mar 9;24(3):283-5. Epub 2015 Dec 9.

Department of Surgery, National Institute of Respiratory Diseases, Mexico City, Mexico.

Tracheobronchial stenosis is common in the thoracic surgery service, and iatrogenic injury of the airway after manipulation is not infrequent. When a digital thoracic drainage system came onto the market, many advantages were evident. A 24-year-old woman with critical right main bronchial stenosis underwent airway dilation that was complicated by a tear with a massive air leak, resulting in a total right pneumothorax. Read More

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http://dx.doi.org/10.1177/0218492315621852DOI Listing
March 2016
6 Reads

Tracheobronchial fistula during the perioperative period of esophagectomy for esophageal cancer.

World J Surg 2015 May;39(5):1119-26

Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan,

Background: Tracheobronchial (TB) injury and fistula formation during the perioperative period of esophagectomy is a rare but life-threatening complication.

Methods: We examined the development of intraoperative TB injury and postoperative TB fistulas in consecutive 763 patients with esophageal cancer who underwent esophagectomy, including 494 patients who underwent transthoracic subtotal esophagectomy.

Results: TB injury and fistulas developed in two (0. Read More

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http://dx.doi.org/10.1007/s00268-015-2945-4DOI Listing
May 2015
4 Reads

Surgical management for the first 48 h following blunt chest trauma: state of the art (excluding vascular injuries).

Interact Cardiovasc Thorac Surg 2015 Mar 4;20(3):399-408. Epub 2014 Dec 4.

Department of Thoracic Surgery and Diseases of the Esophagus, Aix-Marseille University, Assistance Publique-Hôpitaux de Marseille, Hôpital Nord, Marseille, France.

This review aims to answer the most common questions in routine surgical practice during the first 48 h of blunt chest trauma (BCT) management. Two authors identified relevant manuscripts published since January 1994 to January 2014. Using preferred reporting items for systematic reviews and meta-analyses statement, they focused on the surgical management of BCT, excluded both child and vascular injuries and selected 80 studies. Read More

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http://dx.doi.org/10.1093/icvts/ivu397DOI Listing
March 2015
23 Reads

Tracheal laceration as a complication of out-of-hospital emergency tracheal intubation in a patient with COPD.

Am J Emerg Med 2015 Jan 26;33(1):128.e1-3. Epub 2014 Jun 26.

Hacettepe University School of Medicine, Department of Anesthesiology and Reanimation.

Tracheobronchial injuries related to emergency endotracheal intubations are reported to be associated with an increased risk of mortality. Many mechanical risk factors may become more frequent in an emergency setting leading to such injuries. Aside from these factors that may complicate endotracheal intubation, this procedure is not recommended a priori for ventilation due to the resulting interruptions in external chest compressions, by 2010 cardiopulmonary resuscitation (CPR) and external chest compression guidelines. Read More

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http://dx.doi.org/10.1016/j.ajem.2014.06.021DOI Listing
January 2015
10 Reads

Video-assisted thoracic surgery for bronchogenic cysts: is this the surgical approach of choice?

Interact Cardiovasc Thorac Surg 2014 Nov 19;19(5):824-9. Epub 2014 Jul 19.

Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Objectives: Although there is no consensus on the management of bronchogenic cyst, most surgeons advocate early removal, even in asymptomatic patients. To evaluate the feasibility and safety of video-assisted thoracic surgery (VATS) in the management of bronchogenic cysts and long-term follow-up, a retrospective analysis was performed.

Methods: From January 1995 to April 2013, we retrospectively reviewed the charts of 113 patients who underwent VATS resection of bronchogenic cysts in our institution. Read More

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http://dx.doi.org/10.1093/icvts/ivu228DOI Listing
November 2014
10 Reads

Perioperative and intensive care management of pediatric tracheal tear.

Case Rep Med 2014 19;2014:738216. Epub 2014 Feb 19.

Department of Anesthesiology and Pain Medicine, Harborview Medical Center, P.O. Box 359724, 325 9th Avenue, Seattle, WA 98104, USA.

Management of tracheal tears can prove to be challenging in the perioperative setting. This is a rare condition that can be life threatening. Here, we present a case of seven-year-old boy involved in a high-speed motor vehicle collision. Read More

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http://dx.doi.org/10.1155/2014/738216DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3970470PMC
April 2014
4 Reads

Right pulmonary hilar pedicle injury secondary to blunt chest trauma in a child.

Asian Cardiovasc Thorac Ann 2013 Apr;21(2):235-8

Department of Cardiothoracic Surgery, Great Ormond Street Hospital for Children NHS Trust, London, UK.

Combined tracheobronchial and thoracic vascular injury in children following blunt trauma to the chest is potentially life-threatening and almost certain to be fatal unless managed promptly. We report one such incident where prompt identification and early aggressive surgical management prevented an almost certain fatal outcome in a 5-year-old girl with complete disruption of the right main bronchus just distal to the carina, and a tear in the right pulmonary artery. Read More

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http://dx.doi.org/10.1177/0218492312452269DOI Listing
April 2013
3 Reads

Repair of tracheobronchial injuries.

Authors:
Stefan Welter

Thorac Surg Clin 2014 Feb;24(1):41-50

Department of Thoracic Surgery and Endoscopy, Ruhrlandklinik, University Clinic, University of Duisburg-Essen, Tüschener Weg 40, Essen 45239, Germany. Electronic address:

Tracheobronchial injuries (TBIs) are caused by blunt, penetrating injury or by iatrogenic damage. Most injuries are life threatening and need early and skillful airway management. Bronchoscopy remains the gold standard of diagnosis. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S15474127130012
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http://dx.doi.org/10.1016/j.thorsurg.2013.10.006DOI Listing
February 2014
4 Reads

Spdef null mice lack conjunctival goblet cells and provide a model of dry eye.

Am J Pathol 2013 Jul 10;183(1):35-48. Epub 2013 May 10.

Department of Ophthalmology, Schepens Eye Research Institute, Massachusetts Eye and Ear, Harvard Medical School, Boston, Massachusetts 02114, USA.

Goblet cell numbers decrease within the conjunctival epithelium in drying and cicatrizing ocular surface diseases. Factors regulating goblet cell differentiation in conjunctival epithelium are unknown. Recent data indicate that the transcription factor SAM-pointed domain epithelial-specific transcription factor (Spdef) is essential for goblet cell differentiation in tracheobronchial and gastrointestinal epithelium of mice. Read More

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http://dx.doi.org/10.1016/j.ajpath.2013.03.017DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3702735PMC
July 2013
7 Reads

Management of chest trauma in children.

Paediatr Respir Rev 2013 Jun 15;14(2):86-91. Epub 2013 Apr 15.

Department of Paediatric Surgery, Hospital Universitario La Paz and Department of Paediatrics, Universidad Autonoma de Madrid, Madrid, Spain.

Chest trauma in children is caused by high-energy blows, due in general to traffic accidents, that involve several other body regions. They occur mainly in the first decade of life and can be penetrating but are more often non-penetrating. Rib fractures and lung contusions, sometimes associated with pneumothorax or haemothorax, are the more usual injuries, but tracheobronchial rupture, cardiac, oesophageal or diaphragmatic injuries may also occur. Read More

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http://dx.doi.org/10.1016/j.prrv.2013.02.011DOI Listing
June 2013
7 Reads

Management of blunt tracheobronchial trauma in the pediatric age group.

Eur J Trauma Emerg Surg 2013 Apr 8;39(2):167-71. Epub 2013 Jan 8.

Department of Pediatric Surgery, Children's Hospital, 330 Avenue de Grande-Bretagne TSA 70034, 31059, Toulouse Cedex 9, France.

Introduction: Tracheobronchial rupture (TBR) due to blunt chest trauma is a rare but life-threatening injury in the pediatric age group. The aim of this study was to propose a treatment strategy including bronchoscopy, surgery and extracorporeal membrane oxygenation (ECMO) to optimize the emergency management of these patients.

Methods: We reviewed a series of 27 patients with post-traumatic TBR treated since 1996 in our pediatric trauma center. Read More

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http://dx.doi.org/10.1007/s00068-012-0248-0DOI Listing
April 2013
11 Reads

[Injuries to the tracheo-bronchial tree].

Authors:
S Welter H Hoffmann

Zentralbl Chir 2013 Feb 28;138(1):111-6. Epub 2013 Feb 28.

Thoraxchirurgie und thorakale Endoskopie, Ruhrlandklinik am Universitätsklinikum Essen, Essen, Deutschland.

Tracheobronchial injuries are rare events but often life-threatening. A great expertise in the field of thoracic surgery is necessary to manage these events. The aetiology of the injury - traumatic or iatrogenic - allows immediate considerations about the pattern of damage. Read More

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http://dx.doi.org/10.1055/s-0032-1328269DOI Listing
February 2013
5 Reads

Complete laceration of the middle lobe bronchus caused by blunt trauma.

Ann Thorac Cardiovasc Surg 2013 20;19(2):148-50. Epub 2012 Aug 20.

Division of General Thoracic Surgery, Department of Surgery School of Medicine, Keio University, Tokyo, Japan.

Bronchial ruptures due to blunt trauma are rarely encountered injuries. A previously healthy 42-year-old man fell from heights of 8 meters. A prompt chest tube-drainage for suspected right sided tension pneumothorax and a tracheal intubation were performed. Read More

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October 2013
7 Reads

Chest trauma in children, single center experience.

Arch Bronconeumol 2012 Oct 30;48(10):362-6. Epub 2012 Jun 30.

Department of Cardiothoracic Surgery, Mansoura University Hospitals, Mansoura University, Mansoura, Egypt.

Trauma is the leading cause of mortality in children over one year of age in industrialized countries. In this retrospective study we reviewed all chest trauma in pediatric patients admitted to Mansoura University Emergency Hospital from January 1997 to January 2007. Our hospital received 472 patients under the age of 18. Read More

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http://dx.doi.org/10.1016/j.arbres.2012.04.016DOI Listing
October 2012
16 Reads
5 Citations
1.820 Impact Factor

Broken tracheostomy tube: A fractured mandate.

J Emerg Trauma Shock 2012 Jan;5(1):97-9

Department of Surgical Oncology, Cancer Institute (WIA), 36, Sardar Patel Road, Adyar, Chennai, India.

Tracheostomy is a common airway procedure for life support. This procedure is safe, although occasional early and late complications are known to occur. Fracture and hence aspiration of a tracheostomy tube in the tracheobronchial tree is a rare late complication, which can be potentially life threatening. Read More

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http://dx.doi.org/10.4103/0974-2700.93098DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3299168PMC
January 2012
4 Reads

CT imaging of blunt chest trauma.

Insights Imaging 2011 Jun 11;2(3):281-295. Epub 2011 Feb 11.

Department of Radiology, University Hospital of Alexandroupolis, Democritus University of Thrace, Dragana, 68100 Alexandroupolis, Thrace Greece.

BACKGROUND: Thoracic injury overall is the third most common cause of trauma following injury to the head and extremities. Thoracic trauma has a high morbidity and mortality, accounting for approximately 25% of trauma-related deaths, second only to head trauma. More than 70% of cases of blunt thoracic trauma are due to motor vehicle collisions, with the remainder caused by falls or blows from blunt objects. Read More

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http://dx.doi.org/10.1007/s13244-011-0072-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3259405PMC
June 2011
8 Reads

Bronchial and cardiac ruptures due to blunt trauma.

Gen Thorac Cardiovasc Surg 2011 Mar 30;59(3):216-9. Epub 2011 Mar 30.

Department of Surgery, Kagawa Prefectural Central Hospital, 5-4-16 Ban-cho, Takamatsu, Kagawa 760-8557, Japan.

Tracheobronchial and cardiac injuries following blunt thoracic trauma are uncommon but can be life-threatening. We report a case in which the patient with bronchial and right atrial ruptures due to blunt trauma survived after emergent repairs. An 18-year-old female driver was transported to our hospital after a traffic accident and was hemodynamically stable on arrival. Read More

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http://dx.doi.org/10.1007/s11748-010-0638-3DOI Listing
March 2011
5 Reads

[Tracheobronchial injuries].

Ulus Travma Acil Cerrahi Derg 2011 Jan;17(1):41-5

Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Hospital, Istanbul, Turkey.

Background: We aimed in this study to investigate and compare the diagnostic and therapeutic methods in tracheobronchial injuries.

Methods: Nine cases (7 male, 2 female) operated between 2003 and 2008 because of tracheobronchial injury were included in the study. The cause of tracheobronchial injury was trauma in 7 cases and postintubation laceration in 2 cases. Read More

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January 2011
4 Reads

[Tracheal laceration during intubation with a Frova introducer].

Rev Esp Anestesiol Reanim 2010 Nov;57(9):599-602

Servicio de Anestesiología y Reanimación, Hospital Universitario Germans Trias i Pujol, Badalona, Barcelona.

Chest trauma is the most frequent cause of tracheobronchial injury. Less common but potentially serious are lesions caused during intubation maneuvers in a difficult airway, during repeated attempts, or with stylets or other introducers. Though rare, airway lesions are life-threatening complications. Read More

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November 2010
5 Reads

Traumatic bronchial rupture: an unusual cause of tension pneumothorax.

Int J Emerg Med 2010 Apr 9;3(3):193-5. Epub 2010 Apr 9.

Department of Accident & Emergency Medicine, MMHRC, Lake Area, Melur Road, Madurai, India.

Bronchial rupture is a rare and serious complication of blunt chest trauma, which can be easily overlooked on initial evaluation in the emergency room (ER) as the focus of the attending physician is diverted to more obvious external injuries which may not be of much significance. We present one such patient referred to us as a case of unresolved right-sided pneumothorax 2 days after intercostal drainage (ICD) tube placement. Read More

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http://www.springerlink.com/index/10.1007/s12245-009-0155-2
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http://dx.doi.org/10.1007/s12245-009-0155-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2926876PMC
April 2010
5 Reads

Cardiac arrest induced by tension pneumothorax during ventilating bronchoscopy -A case report-.

Korean J Anesthesiol 2010 Aug 20;59(2):123-6. Epub 2010 Aug 20.

Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine, Seoul, Korea.

Tension pneumothorax during ventilating bronchoscopy for foreign body removal is a rare but life-threatening complication. The authors present a case of cardiac arrest caused by tension pneumothorax in a 9-month-old girl who underwent ventilating bronchoscopy for foreign body (peanut) removal. Tension pneumothorax was due to tracheobronchial lacerations caused by a bronchoscope. Read More

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http://dx.doi.org/10.4097/kjae.2010.59.2.123DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2926429PMC
August 2010
5 Reads

[Endoscopic retrieval of metallic stents in patients with airway diseases].

Zhonghua Yi Xue Za Zhi 2010 May;90(20):1411-5

Department of Respiratory Medicine, China Meitan General Hospital, Beijing 100028, China.

Objective: To evaluate the indications, techniques, outcomes and complications of metallic stent removals in patients with airway disorders.

Methods: A retrospective analysis was performed in 43 patients with 47 tracheobronchial stents. The airway stent retrieval was performed under the guidance of rigid or flexible bronchoscopy between November 2005 and November 2009. Read More

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May 2010
4 Reads

Major airway laceration secondary to endobronchial ultrasound transbronchial lymph node biopsy.

J Bronchology Interv Pulmonol 2010 Jul;17(3):264-5

CHUM Endoscopic Tracheobronchial and Oesophageal Center (CETOC), Division of Thoracic Surgery, University of Montreal, Montreal, Quebec, Canada.

A 48-year-old woman underwent complete mediastinal lymph node staging for non-small-cell lung cancer. After convex endobronchial ultrasound (EBUS)-guided transbronchial biopsy of the subcarinal lymph node station (station no. 7), it was noted that a laceration had occurred in the left mainstem bronchus. Read More

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http://dx.doi.org/10.1097/LBR.0b013e3181e6ff7dDOI Listing
July 2010
3 Reads

Anesthesia and airway management for removing pulmonary self-expanding metallic stents.

J Clin Anesth 2009 Nov;21(7):529-32

Cleveland Clinic Lerner College of Medicine, Department of General Anesthesiology, Case Western Reserve University, Cleveland, OH 44195, USA.

The use of bronchoscopically placed self-expanding metallic stents (SEMS) and silastic stents in patients suffering from tracheobronchial stenosis or similar problems has proven to be an important clinical option. When complications occur, it may be necessary to remove the device. Removal of a SEMS is usually performed during general anesthesia with muscle relaxation and positive pressure ventilation, often using total intravenous anesthesia. Read More

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http://dx.doi.org/10.1016/j.jclinane.2008.11.010DOI Listing
November 2009
5 Reads

Tracheal lacerations after endotracheal intubation: a proposed morphological classification to guide non-surgical treatment.

Eur J Cardiothorac Surg 2010 Mar 12;37(3):581-7. Epub 2009 Sep 12.

Department of Thoracic Surgery, Azienda Ospedaliera San Camillo-Forlanini, Carlo Forlanini Hospital, Rome, Italy.

Objective: Postintubation tracheobronchial lacerations (PITLs) are traditionally managed surgically. We sought to evaluate the rationale for non-surgical management of PITL.

Methods: From January 2003 to November 2008, 30 patients with PITL were observed in our institution. Read More

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http://dx.doi.org/10.1016/j.ejcts.2009.07.034DOI Listing
March 2010
4 Reads

[Iatrogenic tracheal rupture, tension pneumotorax and cardiac arrest].

Anestezjol Intens Ter 2008 Apr-Jun;40(2):92-5

Oddział Anestezjologii i Intensywnej Terapii WSzZ w Kaliszu.

Background: Tracheobronchial rupture is a life-threatening complication that may occur during and/or after intubation and tracheostomy. In the majority of described cases, the posterior membranous part of the trachea was affected.

Case Report: A 35-year-old woman was admitted to the ICU because of viral meningo-encephalitis with subsequenttetraplegia and respiratory failure. Read More

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June 2009
9 Reads

Incidence and treatment modalities of tracheobronchial injuries in Germany.

Interact Cardiovasc Thorac Surg 2009 May 11;8(5):571-6. Epub 2009 Feb 11.

Department of Thoracic Surgery, Thoraxklinik, University of Heidelberg, Heidelberg, Germany.

This study presents the first systematic data collection on incidence and therapeutic management of both iatrogenic and non-iatrogenic tracheal lacerations in Germany. In this survey (n=231 questionnaires) based on the geographical coverage of the country, the representation of all levels of service, and the inclusion of specialized thoracic departments as well as non-specialized surgical departments, a representative conspectus on the management of tracheal injuries in Germany was developed. A total number of 1033 tracheal injuries were reported; n=429 of non-iatrogenic origin (blunt trauma: n=276, penetrating wounds: n=94, bullet wounds: n=16, other etiology: n=43) and n=604 of iatrogenic origin (endotracheal intubations/mechanical ventilation: n=372, dilative tracheotomy: n=181, endoscopic interventions: n=51). Read More

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http://dx.doi.org/10.1510/icvts.2008.196790DOI Listing
May 2009
2 Reads

The imaging of paediatric thoracic trauma.

Pediatr Radiol 2009 May 17;39(5):485-96. Epub 2009 Jan 17.

Department of Radiology, Massachusetts General Hospital and Harvard Medical School, Boston, MA 02114, USA.

Major chest trauma in a child is associated with significant morbidity and mortality. It is most frequently encountered within the context of multisystem injury following high-energy trauma such as a motor vehicle accident. The anatomic-physiologic make-up of children is such that the pattern of ensuing injuries differs from that in their adult counterparts. Read More

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http://dx.doi.org/10.1007/s00247-008-1093-5DOI Listing
May 2009
9 Reads

Postintubation tracheal rupture: case report.

Int Surg 2008 Jul-Aug;93(4):241-3

First Department of Surgery, St. Ann's Hospital, Masaryk University, Brno, Czech Republic.

Tracheobronchial rupture after tracheal intubation has been infrequently reported. Successful diagnosis often requires a high level of suspicion. A laceration of the distal membranous trachea usually has been repaired through a right thoracotomy. Read More

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September 2009
8 Reads

Tracheobronchial injuries. Conservative treatment.

Authors:
Ludwig Lampl

Interact Cardiovasc Thorac Surg 2004 Jun;3(2):401-5

I. Surg. Clinic, Zentralklinikum Augsburg, Thoraxchirurgie, Augsburg 86156, Germany.

Unlabelled: Tracheal lacerations are iatrogenic, localized, low impact injuries with longitudinal tears (in about 1:20,000 intubations). In contrast traumatic tracheobronchial ruptures are high velocity injuries with horizontal transections. Between 1986 and 2002, we treated 27 tracheobronchial injuries (8 bronchial 3 of them iatrogenic, 19 tracheal 17 of them iatrogenic (+1 horizontal rupture+1 tracheoesophageal stabbing)). Read More

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http://dx.doi.org/10.1016/j.icvts.2004.02.016DOI Listing
June 2004
3 Reads

Management of iatrogenic tracheobronchial injuries: a retrospective analysis of 29 cases.

Ann Thorac Surg 2007 Jun;83(6):1960-4

Department of Thoracic Surgery, Thoraxklinik, University of Heidelberg, Heidelberg, Germany.

Background: Tracheobronchial injuries are rare but potentially life-threatening complications of endotracheal intubations or endobronchial interventions. This retrospective analysis discusses the criteria for the operative and nonoperative management of tracheal lacerations.

Methods: From July 1996 to June 2006, 29 patients with iatrogenic tracheobronchial injuries were diagnosed at our institution. Read More

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http://dx.doi.org/10.1016/j.athoracsur.2007.01.042DOI Listing
June 2007
10 Reads

Tracheobronchial laceration after balloon dilation for benign strictures: incidence and clinical significance.

Chest 2007 Apr;131(4):1114-7

Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, 388-1, Pungnap-2dong, Songpa-gu, Seoul 138-736, Korea.

Background: Although balloon dilation is a safe procedure, it can lead to laceration of the airway, causing bleeding, pneumothorax, pneumomediastinum, or mediastinitis. We therefore determined the incidence and clinical significance of tracheobronchial lacerations after balloon dilation for treatment of benign tracheobronchial strictures.

Methods: We evaluated 97 patients who had undergone balloon dilation in 124 sessions for the treatment of benign tracheobronchial strictures. Read More

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http://dx.doi.org/10.1378/chest.06-2301DOI Listing
April 2007
3 Reads

[Blunt tracheal transection].

Kyobu Geka 2006 Oct;59(11):985-9

Department of Thoracic Surgery, Shizuoka General Hospital, Shizuoka, Japan.

Blunt tracheobronchial injuries are rare, but can be life-threatening. A precise preoperative diagnosis and well recognized plan of surgical treatment, which may be unique for each patient are needed to restore the continuity of tracheobronchial tree in a one-stage intervention. We encountered 2 patients with complete tracheal transection of neck and 1 patient with complete tracheal transection in mediastinum and 15 cm tear in the posterior membranous trachea, whose tracheal injury was difficult to repair using direct intubation of distal airway by bronchoscopy. Read More

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October 2006
4 Reads

Blunt tracheal transection and long tear in posterior membranous trachea.

Eur J Cardiothorac Surg 2006 Dec 18;30(6):945-7. Epub 2006 Oct 18.

Department of General Thoracic Surgery, Shizuoka General Hospital, Shizuoka, Japan.

Blunt tracheobronchial injuries are rare, but can be life-threatening. A precise preoperative diagnosis and a well-recognised plan of surgical treatment, which may be unique for each patient, are needed to restore the continuity of tracheobronchial tree in a one-stage intervention. We encountered a patient with complete tracheal transection and 15 cm tear in the posterior membranous trachea and right bronchus, and whose tracheal injury was difficult to repair using direct intubation of distal airway by bronchoscopy. Read More

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http://dx.doi.org/10.1016/j.ejcts.2006.09.009DOI Listing
December 2006
4 Reads

[Iatrogenic tracheal rupture after endotracheal intubation].

Cir Esp 2006 Jul;80(1):46-8

Servicio de Cirugía Torácica, Hospital Universitari de Bellvitge, L'Hospitalet de Llobregat, Barcelona, España.

Tracheobronchial rupture after tracheal intubation is rare in clinical practice. Possible contributory factors are multiple vigorous attempts at intubation, overinflation of the cuff, anatomic alterations, and predisposing individual factors. These lesions can be detected by bronchoscopy, which is the most effective method to confirm the diagnosis and determine the exact location and extent of the tear. Read More

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July 2006
7 Reads

Deep tracheal laceration after balloon dilation for benign tracheobronchial stenosis: case reports of two patients.

Br J Radiol 2006 Jun;79(942):529-35

Department of Radiology, Korea University College of Medicine, Seoul.

We report two cases of deep tracheal laceration in female patients after balloon dilation for benign tracheobronchial stenosis. Immediate post-procedure bronchoscopy and CT including 3D reconstructions showed deep lacerations in the posterior tracheal wall. Clinically, the patients' dyspnoea subsided and there has been no recurrence during follow-up after balloon dilation. Read More

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http://www.birpublications.org/doi/10.1259/bjr/17839516
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http://dx.doi.org/10.1259/bjr/17839516DOI Listing
June 2006
4 Reads

Tension pneumopericardium: a case report and a review of the literature.

Am Surg 2006 Apr;72(4):330-1

R. Adams Cowley Shock Trauma Center, 22 South Greene Street, Baltimore, MD 21201,USA.

Pneumopericardium, or air within the pericardial sack, generally occurs after high-speed blunt deceleration injuries. Although it is generally relatively benign, in rare instances, it can become hemodynamically significant. The diagnosis is easily made on plain chest radiography. Read More

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http://ac.els-cdn.com/0736467985902495/1-s2.0-07364679859024
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April 2006
6 Reads

Nonoperative management of severe tracheobronchial injuries with positive end-expiratory pressure and low tidal volume ventilation.

J Trauma 2005 Nov;59(5):1072-5

Department of Surgery, Methodist Health System, Dallas Medical Center, Dallas, Texas, USA

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November 2005
4 Reads

Thoracic trauma: the deadly dozen.

Crit Care Nurs Q 2005 Jan-Mar;28(1):22-40

Critical Care Services, Scripps Mercy Hospital, San Diego, California, 92103, USA.

Deadly Dozen ... Read More

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March 2005
652 Reads

Pneumopericardium in blunt chest trauma after high-speed motor vehicle accidents.

Am J Emerg Med 2005 Jan;23(1):83-6

Department of Surgery Innenstadt, Klinikum der Universität München, D-80336 Munich, Germany.

Pneumopericardium is the presence of air in the pericardial space. In adults, it may be seen in the context with severe blunt chest trauma, pneumothorax, pneumoperitoneum, or other causes of pneumomediastinum. The diagnosis is made by computed tomography scan of the thorax and abdomen that allows the additional detection of concomitant injuries. Read More

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January 2005
27 Reads

Blunt thoracic trauma in children: review of 137 cases.

Eur J Cardiothorac Surg 2004 Aug;26(2):387-92

Department of Thoracic Surgery, Firat University School of Medicine, Elazig 23100, Turkey.

Objective: Thoracic injuries are uncommon in children and few report present on blunt ones.

Methods: Between 1994 and 2003, 137 children with blunt thoracic injury were reviewed.

Results: The mean age of children was 6. Read More

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http://dx.doi.org/10.1016/j.ejcts.2004.04.024DOI Listing
August 2004
7 Reads

[Bronchial rupture combined with luxation fracture of the thoracic spine following direct trauma].

Unfallchirurg 2004 Nov;107(11):1093-8

Berufsgenossenschaftliche Unfallklinik Murnau.

Tracheobronchial injuries in blunt thoracic trauma are very rare (incidence: under 1%), with potentially devastating consequences. Appropriate pre-, intra-, and postoperative management is mandatory to ensure the patient's survival and maintain lung function. We report the case of a 62-year-old male patient hit by a tree over the chest while cutting down trees, suffering a rupture of the right bronchus and a tear of the trachea combined with a luxation fracture of the thoracic spine between Th2 and Th3 (without neurological deficit). Read More

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http://dx.doi.org/10.1007/s00113-004-0792-0DOI Listing
November 2004
3 Reads