• J Clin Anesth · Feb 2017

    Case Reports

    Iatrogenic tracheal laceration in the setting of chronic steroids.

    • Punit Singh, Margaret Wojnar, and Anita Malhotra.
    • Department of Anesthesiology, Penn State College of Medicine, Penn State Hershey, Medical Center, Hershey, PA 17033, USA. Electronic address: PunitSingh88@gmail.com.
    • J Clin Anesth. 2017 Feb 1; 37: 38-42.

    AbstractWe report the case of a 71-year-old woman with end-stage chronic obstructive pulmonary disease who presented with a 10-cm tracheal laceration from a presumed traumatic intubation in the setting of respiratory distress and chronic obstructive pulmonary disease exacerbation and subsequently developed significant subcutaneous emphysema along her neck and mediastinum in addition to her peritoneum and mesentery. We were successfully able to treat this patient conservatively up until the time that tracheostomy was warranted. We discuss and review tracheobronchial injuries with respect to etiology, risk factors, and management and hope to benefit health care providers managing airways in patients at risk for tracheal injury.Copyright © 2016 Elsevier Inc. All rights reserved.

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