• J Bras Pneumol · Aug 2009

    Review Case Reports

    Post-intubation tracheal injury: report of three cases and literature review.

    • Carlos Remolina Medina, José de Jesus Camargo, José Carlos Felicetti, Tiago Noguchi Machuca, Bruno de Moraes Gomes, and Iury Andrade Melo.
    • Pavilhão Pereira Filho, Complexo Hospitalar Santa Casa, Porto Alegre, RS, Brasil. remolinamd@gmail.com
    • J Bras Pneumol. 2009 Aug 1; 35 (8): 809-13.

    AbstractPost-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.

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