Anesthetic management of a patient with bronchopleural fistula following blunt trauma chest: A brief report

Prebronchoplasty ventilation maneuver: Steering the outcome in the management of bronchial injuries!

“…Radiographic abrupt “cutoff” of bronchus and lung-drop below the level of carina also called “fallen lung sign” may assist in confirmation. [ 4 5 ] The definitive diagnosis is made on the basis of bronchoscopy, to delineate the exact location and possible nature of lesion. [ 4 7 ] In addition, radionuclide perfusion scans, if available, may also be used as a diagnostic modality to assess the vascularity of collapsed segment.…”

“…Bronchial injuries are infrequently seen following blunt chest trauma with varied clinical presentation, ranging from subtle to life-threatening, depending on the site of injury. [ 1 2 3 4 5 6 7 ] Right main bronchus (RMB) is one of the most common sites involved in intrathoracic tracheobronchial injuries. [ 2 ] Due to covert presentation, its diagnosis is challenging and may be delayed resulting in complications such as secondary infection, bronchiectasis, atelectasis, collapse, and fibrosis.…”