Conservative approach of a paediatric tracheal rupture.

Autor:	Duarte CM; Department of Pediatrics, Centro Hospitalar Universitário Lisboa Norte EPE, Lisbon, Portugal catarina.m.duarte@gmail.com., Vieira E; Pediatric Surgery Service, Department of Pediatrics, Centro Hospitalar Universitario Lisboa Norte EPE, Lisboa, Portugal., Almeida S; Pediatric Intensive Care Unit; Department of Pediatrics, Centro Hospitalar Universitário Lisboa Norte EPE, Lisboa, Portugal., Abecasis F; Pediatric Intensive Care Unit; Department of Pediatrics; Lead of Pediatric Interhospital Transport System and Neonatal and Pediatric ECMO Program, Centro Hospitalar Universitario Lisboa Norte EPE, Lisboa, Portugal.
Jazyk:	angličtina
Zdroj:	BMJ case reports [BMJ Case Rep] 2023 Jun 12; Vol. 16 (6). Date of Electronic Publication: 2023 Jun 12.
DOI:	10.1136/bcr-2022-254494
Abstrakt:	A girl was brought into the emergency room after a non-penetrating cervical trauma. On physical examination, a rapidly progressing chest subcutaneous emphysema was denoted. The child was immediately intubated and mechanical ventilation was initiated. The CT-scan revealed a rupture to the posterior wall of the trachea and a pneumomediastinum. The child was transferred to the paediatric intensive care unit. A conservative approach was chosen, including tracheal intubation as a bypass through the tracheal injury, sedation to reduce the risk of further tracheal trauma and prophylactic antibiotic therapy. Twelve days after the incident, a bronchoscopy demonstrated the integrity of tracheal mucous and the child was successfully extubated. Three months after hospital discharge she was asymptomatic. In this clinical case, the conservative approach presented a successful outcome, avoiding the risks associated with surgery. Competing Interests: Competing interests: None declared. (© BMJ Publishing Group Limited 2023. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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