Post-intubation tracheal injury: report of three cases and literature review.
Post-intubation tracheal injury is a rare and potentially fatal complication. Among the most common causes, cuff overinflation and repetitive attempts of orotracheal intubation in emergency situations are paramount. Diagnosis is based on clinical and radiological suspicion, confirmed by fiberoptic bronchoscopy. Both conservative and surgical management apply, and the decision-making process depends on the patient profile (comorbidities, respiratory stability), characteristics of the lesion (size and location) and the time elapsed between the occurrence of the injury and the diagnosis. We report the cases of three patients presenting tracheal laceration due to traumatic orotracheal intubation, two submitted to surgical treatment and one submitted to conservative treatment.
Medina
Carlos Remolina
CR
Pavilhão Pereira Filho, Complexo Hospitalar Santa Casa, Porto Alegre, RS, Brasil. remolinamd@gmail.com
Camargo
José de Jesus
Jde J
Felicetti
José Carlos
JC
Machuca
Tiago Noguchi
TN
Gomes
Bruno de Moraes
Bde M
Melo
Iury Andrade
IA
D000368:Aged; D000369:Aged, 80 and over; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects*; D022125:Lacerations / Q000209:etiology*; D008875:Middle Aged; D014132:Trachea / Q000293:injuries*