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1.
The Korean Journal of Thoracic and Cardiovascular Surgery ; : 403-406, 2017.
Artículo en Inglés | WPRIM | ID: wpr-139833

RESUMEN

Tracheobronchial rupture due to blunt chest trauma is a rare but life-threatening injury in the pediatric population. Computed tomography (CT) is not always reliable in the management of these patients. An additional concern is that ventilation may be disrupted during surgical repair of these injuries. This report presents the case of a 4 -year-old boy with an injury to the lower trachea and carina due to blunt force trauma that was missed on the initial CT scan. During surgery, he was administered venoarterial extracorporeal membrane oxygenation (ECMO). Although ECMO is not generally used in children, this case demonstrated that the short-term use of ECMO during pediatric surgery is safe and can prevent intraoperative desaturation.


Asunto(s)
Niño , Humanos , Masculino , Oxigenación por Membrana Extracorpórea , Rotura , Tórax , Tomografía Computarizada por Rayos X , Tráquea , Ventilación
2.
The Korean Journal of Thoracic and Cardiovascular Surgery ; : 403-406, 2017.
Artículo en Inglés | WPRIM | ID: wpr-139832

RESUMEN

Tracheobronchial rupture due to blunt chest trauma is a rare but life-threatening injury in the pediatric population. Computed tomography (CT) is not always reliable in the management of these patients. An additional concern is that ventilation may be disrupted during surgical repair of these injuries. This report presents the case of a 4 -year-old boy with an injury to the lower trachea and carina due to blunt force trauma that was missed on the initial CT scan. During surgery, he was administered venoarterial extracorporeal membrane oxygenation (ECMO). Although ECMO is not generally used in children, this case demonstrated that the short-term use of ECMO during pediatric surgery is safe and can prevent intraoperative desaturation.


Asunto(s)
Niño , Humanos , Masculino , Oxigenación por Membrana Extracorpórea , Rotura , Tórax , Tomografía Computarizada por Rayos X , Tráquea , Ventilación
3.
Ann Card Anaesth ; 2013 Apr; 16(2): 140-143
Artículo en Inglés | IMSEAR | ID: sea-147246

RESUMEN

We describe tracheobronchial injury (TBI) in a 17-year-old teenager following blunt trauma resulting from a road traffic accident. The patient presented to a peripheral hospital with swelling over the neck and face associated with bilateral pneumothorax for which bilateral intercostal drains were inserted and the patient was transferred to our institute. Fiber-optic videobronchoscopy (FOB) was performed, the trachea and bronchi were visualized, and the site and extent of injury was assessed. Spontaneous respiration was maintained till assessment of the airway. Then the patient was anesthetized with propofol and paralyzed using succinylcholine and a double-lumen endobronchial tube was inserted; thereafter, the adequacy of controlled manual ventilation and air-leak through intercostal drains was assessed and the patient was transferred to operating room (OR) for repair of the airway injury. The OR was kept ready during FOB to manage any catastrophe. This case describes the need for proper preparation and communication between health care team members to manage all possible scenarios of traumatic TBI.


Asunto(s)
Adolescente , Bronquios/lesiones , Bronquios/cirugía , Broncoscopía , Tecnología de Fibra Óptica , Humanos , Masculino , Tráquea/lesiones , Tráquea/cirugía , Heridas no Penetrantes/cirugía
4.
Korean Journal of Anesthesiology ; : 465-470, 2007.
Artículo en Coreano | WPRIM | ID: wpr-161782

RESUMEN

Patients with complete tracheal transection present a considerable challenge to the anesthesiologist. A 38 year-old woman with complete tracheal transection above the aortic arch level due to blunt trauma was taken to the operating room for an attempt at tracheal repair. Anesthetic management was focused on the maintenance of the airway and adequate ventilation. Primary repair of the trachea was carried out under ventilation support via percutaneous cardiopulmonary support system. Until the disrupted trachea was exposed on the surgical field, ventilation was performed using a laryngeal mask. We discuss the anesthetic management strategies and the alternative mode of ventilation.


Asunto(s)
Adulto , Femenino , Humanos , Aorta Torácica , Máscaras Laríngeas , Quirófanos , Tráquea , Ventilación
5.
Journal of Chongqing Medical University ; (12)1986.
Artículo en Chino | WPRIM | ID: wpr-572080

RESUMEN

Objective:To explore the clinical effect of the emergency surgical treatment of tracheobronchial injury.Methods:11 operative patients with tracheobronchial injury were studied and analyzed.Results:8 patients were emergcntly operated with thoracotomy through tracheobronchial repair.2 cases suffered left inferior pulmonary atelectasis after operation and they healed with sucking sputum through tracheal cannula and positive-pressure ventilation.Right subphrenic abscess occurred in 1 case,and the patient healed with exploratory laparotomy and drainage.There were no death and no bronchopleural fistula or bronchostenosis after operation.Conclution:The emergency tracheobronchial prosthesis through thoracotomy is an important treatment for tracheobronchial injury,which is safe and accompanied with less complications.

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