Successful anesthetic management in a child after traumatic rupture of left main bronchus by a single-lumen cuffed-endotracheal tube.
Ann Card Anaesth
;
2014 Oct; 17(4): 292-295
Artículo
en Inglés
| IMSEAR
| ID: sea-153701
ABSTRACT
Tracheobronchial injury (TBI) may lead to catastrophe if remains undetected or managed improperly. The incidence of TBI is less in children as compared with adults due to their pliable chest wall. Its clinical manifestations include persistent pneumothorax, cervical subcutaneous emphysema, pneumomediastinum, cyanosis, and respiratory insufficiency. The recommended airway management is to intubate the healthy bronchus with a single‑lumen or double‑lumen endotracheal tube (ET) and bypassing the injured side. We report successful anesthetic management of traumatic rupture of the left main bronchus in a child by using a single‑lumen cuffed‑ET. Many factors affect the outcome of such injuries and include the extent of the lesion, the resulting pulmonary status, the adequacy of surgical reconstruction. More severe injury may require lobectomy or pneumonectomy. Early diagnosis and proper management result in good functional outcome.
Texto completo:
Disponible
Índice:
IMSEAR (Asia Sudoriental)
Asunto principal:
Neumonectomía
/
Rotura
/
Heridas no Penetrantes
/
Bronquios
/
Broncoscopía
/
Humanos
/
Masculino
/
Accidentes de Tránsito
/
Tomografía Computarizada por Rayos X
/
Adolescente
Tipo de estudio:
Estudio de tamizaje
Idioma:
Inglés
Revista:
Ann Card Anaesth
Año:
2014
Tipo del documento:
Artículo
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