title: Pretracheal abscess following two weeks of endotracheal intubation.
abstract: Pretracheal abscess due to endotracheal intubation has not been reported in literature. We present a case of a female patient who was admitted with acute hypercapnic respiratory failure. Patient was initially managed with noninvasive ventilation but eventually was intubated after sustaining a cardiac arrest. She could not be extubated because of poor weaning parameters, so a tracheostomy was planned. During surgery, a pretracheal abscess was found with destruction of the second, third, and fourth tracheal rings and intact posterior tracheal wall. The possible risk factors, mechanism of injury, and preventive strategy of tracheal complication of intubation are discussed.
authors: Department of Pulmonary Medicine, Interfaith Medical Center, Brooklyn, New York, USA. nneupane@interfaithmedical.com
authors: Narayan
authors: N
authors: Neupane
authors: M Frances
authors: MF
authors: Schmidt
authors: Neerja
authors: N
authors: Gulati
authors: Muhammad
authors: M
authors: Perwaiz
authors: Fadi
authors: F
authors: Hammoudeh
authors: Eneh
authors: E
authors: Kennedy
authors: Mehjabin
authors: M
authors: Zahir
authors: Danilo
authors: D
authors: Enriquez
authors: Joseph
authors: J
authors: Quist
mesh_terms: D000038:Abscess / Q000209:etiology* / Q000382:microbiology / Q000473:pathology*; D000368:Aged; D001424:Bacterial Infections / Q000209:etiology* / Q000473:pathology*; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects*; D012131:Respiratory Insufficiency / Q000628:therapy; D012307:Risk Factors; D014132:Trachea / Q000293:injuries* / Q000382:microbiology* / Q000473:pathology