Effect of Tracheal Dilatation and Rupture on Mechanical Ventilation Using a Low-Pressure Cuff Tube

Luna, Carlos M.; Legarreta, Gabriela I; Esteva, Hugo; Laffaire, Enrique; Jolly, Enrique C.

doi:10.1378/chest.104.2.639

Cited by 32 publications

(27 citation statements)

References 11 publications

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“…The references cited in these articles were examined to identify additional reports. We found 35 cases of tracheobronchitis in non-ventilated adults [4,5,32,33,34,35,36,37,38,39,40,41,42,43,44,45]. We excluded 19 of them since the diagnosis was not based on endoscopic findings [34,35,43,44,45].…”

Section: Discussionmentioning

confidence: 99%

“…Five cases were not from the English literature and were also excluded [5,39]. Thus 11 cases were included in our analysis (table 1) [4,32,33,36,37,38,40,41,42]. Females seem to have a higher incidence of tracheobronchitis than males (8/11, 72.7%).…”

Section: Discussionmentioning

confidence: 99%

“…All 3 males were immunocompromised either from HIV infection [37], from chronic steroid use [38] or from recent systemic viral illness [4]. On the other hand, only 25% (2/8) of female patients were immunocompromised (underlying malignancy) [36,42]. However, the rarity of the condition prohibits definite characterization of its epidemiology.…”

Section: Discussionmentioning

confidence: 99%

“…However, the rarity of the condition prohibits definite characterization of its epidemiology. Bronchoscopy was used for diagnosis of tracheobronchitis in 5/10 (50%) cases [4,36,37,38,42], laryngoscopy in 6/10 (60%) cases [33,37,40,41,42] and both methods were used in 1 case [37]. The diagnosis was based on autopsy in 1 case [32].…”

Section: Discussionmentioning

confidence: 99%

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Tracheobronchitis Caused by Methicillin-Resistant <i>Staphylococcus aureus</i> as a Cause of Chronic Wheezing in a Non-Ventilated Adult Patient with Tracheobronchomalacia

Kelesidis¹,

Osman²,

Trayner

et al. 2009

Respiration

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Bacterial tracheobronchitis is an extremely rare entity, which was long considered to be a pediatric disease. We report the case of a 65-year-old woman who presented with persistent wheezing, worsening productive cough and sore throat. Computed tomography of the chest revealed the presence of tracheomalacia, confirmed at bronchoscopy. The presence of purulent exudate, coating the trachea and main bronchi, was consistent with bacterial tracheobronchitis. Culture of the tracheal aspirates grew methicillin-resistant Staphylococcus aureus (MRSA). As the patient was afebrile and not systemically ill, the clinical picture was consistent with exudative tracheobronchitis. To our knowledge, this is the first case of MRSA exudative tracheobronchitis and tracheomalacia in a non-ventilated adult. Other adult cases of bacterial tracheobronchitis and MRSA tracheobronchitis in mechanically ventilated patients reported in the literature are also reviewed.Physicians should be aware of the diagnosis of tracheomalacia in adults, which can masquerade as persistent asthma and may be associated with the development of serious infections including MRSA tracheobronchitis.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Tracheobronchitis Caused by Methicillin-Resistant <i>Staphylococcus aureus</i> as a Cause of Chronic Wheezing in a Non-Ventilated Adult Patient with Tracheobronchomalacia

Kelesidis¹,

Osman²,

Trayner

et al. 2009

Respiration

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“…Em pacientes que necessitam de períodos prolongados de intubação endotraqueal, como em casos de insuficiência respiratória crônica e em pacientes neurológicos, a falta de controle da pressão no interior do balonete pode resultar em isquemia permanente da mucosa, dilatação traqueal e cicatrização com estenose (Figuras 4a e 4b) 12 . O desenvolvimento dessas lesões é diretamente proporcional ao tempo de intubação.…”

Section: Lesões Secundárias Ao Contato Da Cânula Ou De Seu Balonete Sunclassified

Complicações das vias aéreas relacionadas à intubação endotraqueal

Martins

Dias

Bráz

et al. 2004

Rev. Bras. Otorrinolaringol.

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Descrevemos as principais complicações das vias aére-as relacionadas à intubação endotraqueal, por meio de revisão da literatura e apresentação dos resultados de pesquisas clínicas e experimentais realizadas pelo nosso grupo de estudo. Procuramos alertar os profissionais de saúde quanto à alta incidência de complicações secundárias à intubação, as quais podem ser reduzidas com a adoção de medidas profiláticas simples e de cunho prático, estabelecidas após a compreensão da fisiopatologia das lesões. We reviewed the main airway complications associated with endotracheal intubation, presented some results of our researches and alert health professionals for the high incidence of airway injuries. The knowledge of the physiopathology of these injuries will help to proper prophylactic and practice conducts to prevent the airway complications associated with endotracheal intubation.Palavras-chave: intubação, vias aéreas, complicações, morbidade. Key words: intubation, airway, complications, morbidity. Rev Bras Otorrinolaringol. V.70, n.5, 671-7, set./out. 2004 ORIGINAL ARTICLE ARTIGO ORIGINAL REVIEW ARTICLE ARTIGO DE REVISÃO

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Tracheal rupture after endotracheal intubation: a literature systematic review

Miñambres

Burón

Ballesteros

et al. 2009

European Journal of Cardio-Thoracic Surgery

255

274

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We aim to perform a systematic review and meta-analysis of the cases of postintubation tracheal rupture (PiTR) published in the literature, with the aim of determining the risk factors that contribute to tracheal rupture during endotracheal intubation. A further objective has been to determine the ideal treatment for this condition (surgical repair or conservative management). A MEDLINE review of cases of tracheal rupture after intubation published in the English language and a review of the references in the articles found. The articles included were those that reported at least the demographic data (age and sex), the treatment performed, and the outcome. Those papers that did not detail the above variables were excluded. The search found 50 studies that satisfied the inclusion criteria. These studies included 182 cases of postintubation tracheal rupture. The overall mortality was 22% (40 patients). A statistical analysis was performed determining the relative risk (RR), 95% confidence intervals (95% CI) and/or statistical significance. The analysis was performed on the overall group and after dividing into 2 subgroups: patients in whom the lesion was detected intraoperatively, and other patients. Patient age (p=0.015) and emergency intubation (RR=3.11; 95% CI, 1.81-5.33; p=0.001) were variables associated with an increased mortality. In those patients in whom the PiTR was detected outside the operating theatre (delayed diagnosis), emergency intubation (RR=3.05; 95% CI, 1.69-5.51; p<0.0001), the absence of subcutaneous emphysema (RR=2.17; 95% CI, 1.25-4; p=0.001), and surgical treatment (RR=2.09; 95% CI, 1.08-4.07; p=0.02) were associated with an increased mortality. In addition, age (p=0.1) and male gender (RR=1.89; 95% CI, 0.98-3.63; p=0.13) showed a clear trend towards an increased mortality. PiTR is an uncommon condition but carries a high morbidity and mortality. Emergency intubation is the principal risk factor, increasing the risk of death threefold compared to elective intubation. Conservative treatment is associated with a better outcome. However, the group of patients who would benefit from surgical treatment has not been fully defined. Further studies are required to evaluate the best treatment options.

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Effect of Tracheal Dilatation and Rupture on Mechanical Ventilation Using a Low-Pressure Cuff Tube

Cited by 32 publications

References 11 publications

Tracheobronchitis Caused by Methicillin-Resistant <i>Staphylococcus aureus</i> as a Cause of Chronic Wheezing in a Non-Ventilated Adult Patient with Tracheobronchomalacia

Tracheobronchitis Caused by Methicillin-Resistant <i>Staphylococcus aureus</i> as a Cause of Chronic Wheezing in a Non-Ventilated Adult Patient with Tracheobronchomalacia

Complicações das vias aéreas relacionadas à intubação endotraqueal

Tracheal rupture after endotracheal intubation: a literature systematic review

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