頁籤選單縮合
題 名 | Successful Remission of a Large Post-intubation Tracheal Rupture with Conservative Management--A Case Report |
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作 者 | Lin, Hsin-wei; Tang, Yen-hsiang; Yang, Yu-hui; Chung, Hsin-pei; | 書刊名 | 胸腔醫學 |
卷 期 | 38:4 2023.12[民112.12] |
頁 次 | 頁325-329 |
分類號 | 416.89 |
關鍵詞 | Tracheal rupture; Endotracheal intubation; Endotracheal tube cuff; |
語 文 | 英文(English) |
英文摘要 | Iatrogenic tracheal rupture is a rare but life-threatening complication that can occur during an endotracheal intubation procedure. An iatrogenic rupture might be due to any one of various factors, including stylet-induced tracheal injury and an incorrect endotracheal tube size. The treatment strategy for iatrogenic tracheal rupture is challenging, and depends on the laceration length, size, location, and underlying disease. Surgical repair is often required for a large rupture, while conservative management is considered sufficient for small and stable lacerations. Mediastinitis, and even death could occur if the rupture cannot be handled properly. We present the case of a 67-year-old woman with heart failure, who was diagnosed with a large tracheal rupture after emergency endotracheal intubation. She received conservative treatment for the tracheal rupture, rather than surgical repair, and bronchoscopic examination on the 8th day after intubation showed the rupture was healing. The patient was successfully extubated later. Therefore, conservative management may be considered for large post-intubation tracheal ruptures in a high-risk surgical candidate. |
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