• J Emerg Med · Jul 2018

    Case Reports

    Iatrogenic Tracheal Rupture Caused by Emergency Intubation: A Case Report.

    • Christopher Schaeffer, Thomas Galas, Bettina Teruzzi, Jerome Sudrial, Nicolas Allou, and Olivier Martinet.
    • Service de Réanimation Polyvalente, CHU La Réunion site Félix Guyon, Allée des Topazes, Saint Denis de La Réunion, France; Service d'Accueil des Urgences, Centre Hospitalier Hôtel Dieu, Mont-Saint-Martin, France.
    • J Emerg Med. 2018 Jul 1; 55 (1): e15-e18.

    BackgroundIatrogenic tracheal rupture is a rare but life-threatening complication. If suspected by clinical examination or chest radiograph, a computed tomography scan can confirm the diagnosis, but the criterion standard is a bronchoscopy. There is no consensus on its management.Case ReportA 52-year-old woman was intubated in a prehospital setting after cardiac arrest. A gradual appearance of subcutaneous emphysema was observed after intubation. A computed tomography scan revealed a complicated tracheal rupture, pneumomediastinum, and pneumothorax. The management was surgical. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Intubation in emergency conditions increases the risk of tracheal rupture and a delay in management is an important prognostic factor.Copyright © 2018 Elsevier Inc. All rights reserved.

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