THE ROLE OF MULTISLICE COMPUTED TOMOGRAPHY IN THE EMERGENCY DIAGNOSIS OF THE TRACHEOBRONCHIAL INJURY AFTER ENDOTRACHEAL INTUBATION - CASE REPORT

Autor: Aleksandar Karanikolić, Zoran Damnjanović, Vesna Karanikolić, Ivan Pešić, Biljana Stošić, Toplica Bojić
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Zdroj: Acta Medica Medianae, Vol 54, Iss 1, Pp 53-55 (2015)
Druh dokumentu: article
ISSN: 0365-4478
1821-2794
DOI: 10.5633/amm.2015.0108
Popis: Tracheobronchial injury (TBI) is a rare complication occurring after endotracheal intubation. Treatment can be conservative for small lesions and when the patient’s condition is stable, or surgical for bigger lesions and when pneumomediastinum and/or subcutaneous emphysema threaten the patient’s life. Total thyroidectomy was performed in a 60-year-old woman with multinodular goiter. Ten hours after surgery, subcutaneous emphysema of the face and neck developed. A cervical and thoracic multislice computed tomography (MSCT) confirmed subcutaneous emphysema, pneumomediastinum, and posterior wall tracheal rupture 2cm in size. The patient was treated conservatively. The MSCT imaging can be a useful method for diagnosing the location and form of tracheal injury in hemodynamically stable patients.
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