Massive tracheal necrosis complicating endotracheal intubation.
نویسندگان
چکیده
There are significant complications associated with endotracheal intubation. Massive tracheal necrosis secondary to tracheoesophageal space abscess developed in a 71-year-old man during mechanical ventilation. Elevated endotracheal tube cuff pressures, sepsis, hypotension, and other risk factors predispose to this disastrous consequence.
منابع مشابه
Conservative treatment of severe tracheal laceration after endotracheal intubation.
Endotracheal intubation can lead to iatrogenic trauma to the upper airways. Superficial mucosal tears in the mouth, pharynx, or larynx are common and can cause secondary infection and acute respiratory distress due to massive air leak. We report a patient who sustained a severe 5-cm tracheal laceration and subcutaneous emphysema after intubation. She was successfully weaned from the ventilator ...
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OBJECTIVE To investigate the inflammatory markers associated with short-term endotracheal intubation in healthy surgical patients. DESIGN An observational and prospective study of subjects scheduled for same-day surgery procedures. SETTING Level I trauma center. PATIENTS Fourteen healthy patients intubated for same-day surgery procedures. The median duration of surgery was 3 hours. INTE...
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Our patient sustained a laceration of the membranous portion of the trachea associated with massive subcutaneous emphysema after an apparently uneventful intubation. The patient was successfully operated on within seven hours. The importance of prompt diagnosis and treatment in the event of this rare complicatoin and the different causative factors are discussed.
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Tracheobronchial rupture is an uncommon but potentially serious complication of endotracheal intubation. The most likely cause of tracheal injury is massive overinflation of the endotracheal tube cuff and pre-existing tracheal wall weakness. We review the relevant literature and predisposing factors contributing to this complication. Only articles that reported at least the demographic data (ag...
متن کاملEarly biochemical markers of inflammation in a swine model of endotracheal intubation.
BACKGROUND A common complaint after endotracheal tube use is sore throat, which may be due to abrasion, ischemia-reperfusion injury, or an inflammatory reaction. Few studies have evaluated localized tracheal inflammation as part of the response to intubation. METHODS Inflammation of the trachea due to intubation was assessed in a swine model by following indicators of inflammation over time i...
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عنوان ژورنال:
- Chest
دوره 95 2 شماره
صفحات -
تاریخ انتشار 1989