Major Tracheal Injury with Head and Neck Emphysema Complicating Intubation in Elective Surgery: Diagnostic Aspects and Management in a Resource-Limited Setting
Autor: | Irie-bi G, Kouadio S, N’da Kc, Ogondon B, Boua N, Kouame Ke, Y. Brouh, Mahoungou Guimbi Kc |
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Rok vydání: | 2017 |
Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry medicine.medical_treatment Tracheal intubation General Engineering Soft tissue Surgery Bronchoscopy Respiratory failure Otorhinolaryngology Anesthesia medicine Intubation Elective surgery medicine.symptom business Subcutaneous emphysema |
Zdroj: | Analgesia & Resuscitation Current Research. |
ISSN: | 2324-903X |
DOI: | 10.4172/2324-903x.1000145 |
Popis: | Tracheal intubation complications in emergency circumstances are well known and may be serious. A 15 year-old girl underwent Killian tumour resection developed subcutaneous emphysema on extubation causing severe respiratory failure that required an emergency tracheotomy with insertion of the endotracheal tube. Emergency head and chest radiography performed in the operating room showed diffuse gaseous infiltration of the paraspinal soft tissues of the cervical region. Bronchoscopy performed on postoperative day 1 showed tracheal injury. Endotracheal tube was removed successfully on postoperative day 3 and the patient was discharged from the hospital. Otorhinolaryngology follow-up examination on postoperative day 7 was unremarkable. |
Databáze: | OpenAIRE |
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