Iatrogenic Tracheal Laceration Causing Asphyxia
| Autor: | Zvonimir Mareković M.D., Leo Pažanin, Nedjeljka Goreta M.D., Vedrana Petrovečki, Vilka Bekavac Mišak |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2008 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Iatrogenic Disease Autopsy Lacerations Pathology and Forensic Medicine Renovascular hypertension Asphyxia Intubation Intratracheal Genetics medicine Humans Intubation Forensic Pathology business.industry Thrombosis Middle Aged Airway obstruction respiratory system medicine.disease forensic science asphyxia tracheal occlusion intratracheal intubation Surgery Airway Obstruction Trachea Anesthesia Female Airway management medicine.symptom Complication business Airway |
| Popis: | Endotracheal intubation is a simple, rapid, and safe technique that is being used as a standard procedure for airway management. However, airwaay injury during endotraceheal intubation could be a significant source of morbidity or even mortality for patients and a source of liability for physicians as well. We report an unusual case of fatal tracheal occlusion by intraluminal blood clot complicating endotracheal intubation. The patient, a 62-year-old woman, with renovascular hypertension and incipient renal failure was scheduled for renal autotransplantation. The surgery was uneventful but the postoperative course was complicated with a lethal airway obstruction. At autopsy a linear longitudinal tracheal laceration was identified with an intraluminal blood clot obstructing the tracheal lumen. Tracheal laceration as a cause of death is a rare and potentially fatal complication of endotracheal intubation with intratracheal bleeding, clot formation, tracheal occlusion, and subsequent asphyxia. |
| Databáze: | OpenAIRE |
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