• Ned Tijdschr Geneeskd · Jan 2013

    Case Reports

    [Tracheal rupture as a cause of unanticipated perioperative mortality].

    • Cor J Kalkman, Marije Marsman, J T A Hans Knape, and Jan G van den Tweel.
    • Universitair Medisch Centrum Utrecht, Afd. Anesthesiologie, Utrecht, the Netherlands. c.j.kalkman@umcutrecht.nl
    • Ned Tijdschr Geneeskd. 2013 Jan 1;157(25):A6068.

    AbstractHere we report two cases in which healthy young patients died during surgery because ventilation was impossible by a clinical picture of massive subcutaneous emphysema. The probable diagnosis was tracheal rupture. This diagnosis was not confirmed during coroner's autopsy, but there had been no systematic search for a puncture in the trachea or the main bronchial tubes. Immediate recognition of this situation, and implementation of ventilation of one lung by pushing a narrower endobronchial tube beyond the tracheal rupture, is potentially life-saving.

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