[Complication of tracheal intubation: severe cervical cellulitis].
A 40-year-old man, victim of a traffic accident has been hospitalized for a severe head trauma. His trachea has been intubated under general anaesthesia with an 8.0 mm ID tube (Vygon). The cerebral scan revealed a surgical subdural haematoma. In the postoperative period, the patient was admitted in surgical intensive care, under sedation and mechanically ventilation. At day 12 the patient developed a cervical cellulitis complicated of a septic shock. The cervical scan showed an important dilatation of the trachea in the site of the tube cuff. The surgical exploration discovered a complete destruction of the anterior face of de trachea on several centimetres of height. The patient died 24 hours later by multiple organ failure.
Alharrar
R
R
Service de Réanimation des Urgences Chirurgicales, CHU Ibn-Rochd, Casablanca, Maroc. ralharrar@yahoo.fr
Rachidi
M
M
Hamoudi
D
D
Bouderka
M A
MA
Harti
A
A
D000063:Accidents, Traffic; D000328:Adult; D000768:Anesthesia, General; D002481:Cellulitis / Q000209:etiology*; D006259:Craniocerebral Trauma / Q000601:surgery; D020199:Hematoma, Subdural, Acute / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects*; D008297:Male; D011859:Radiography; D012121:Respiration, Artificial