title: Neonatal tracheal rupture complicating endotracheal intubation: a case report and indications for conservative management.
abstract: Neonatal tracheal injury represents a rare complication of endotracheal intubation. Previous case reports have demonstrated high morbidity and mortality (75%) associated with the rapid occurrence of subcutaneous emphysema, respiratory failure and death in this patient population. This mandates the prompt recognition, evaluation and management of this injury in the neonate. Although there is no clear consensus, previous authors have described both surgical therapy and expectant management. We report a case of a newborn who sustained tracheal rupture following traumatic intubation who survived with expectant management. The pathophysiology, management and indications for conservative management of neonatal tracheal rupture are reviewed.
authors.affiliation: Department of Otorhinolaryngology, New York Presbyterian Hospital, Weill Medical College of Cornell University, 520 East 70th Street, Starr 541, New York, NY 10021, USA.
authors.forename: K Meghan
authors.initials: KM
authors.lastname: Doherty
authors.forename: Abtin
authors.initials: A
authors.lastname: Tabaee
authors.forename: Maricor
authors.initials: M
authors.lastname: Castillo
authors.forename: Shilpa Reddy
authors.initials: SR
authors.lastname: Cherukupally
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007442:Intubation, Intratracheal / Q000009:adverse effects* / Q000379:methods; D008297:Male; D011859:Radiography; D012421:Rupture / Q000628:therapy; D013352:Subcutaneous Emphysema / Q000209:etiology* / Q000628:therapy*; D014132:Trachea / Q000000981:diagnostic imaging / Q000293:injuries*; D014947:Wounds and Injuries / Q000000981:diagnostic imaging