Mainstem Bronchus Transection after Blunt Chest Trauma

Zarama, Virginia; Velásquez, Mauricio

doi:10.1016/j.jemermed.2011.10.004

Cited by 5 publications

(5 citation statements)

References 8 publications

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“…A complete tracheobronchial injury occurs in 1% of trauma cases and most of the victims in such cases died before arrival to the emergency department. [ 1 2 3 ] The immediate diagnosis and timely identification of such injuries are lifesaving. [ 2 ]…”

Section: Discussionmentioning

confidence: 99%

“…[ 2 ] Tracheal injury as a result of force insertion can cause hemorrhage. [ 3 ] Airway trauma can also occur due to high pressure to the trachea during insertion. [ 7 8 ]…”

Section: Discussionmentioning

confidence: 99%

“…Traumatic chest injury is one of the leading causes of death in motor vehicle accident (MVA). A complete tracheobronchial injury occurred in 1% of such trauma cases and most of these cases died before arrival to the hospital,[ 1 2 3 ] and these injuries need immediate diagnosis and management. However, tracheal intubation is difficult in 1–4% and impossible in about 0.05–0.35% of patients who have apparently normal airways,[ 4 ] and definitely in trauma cases these figures are much higher, which needs in these circumstances a skillful technique to deal with and also using a different safe devises to achieve successful intubation.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Is it safe to use frova airway intubating device during tracheal intubation in difficult airway patient with multiple and chest trauma?

et al. 2016

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Traumatic chest injury is one of the leading causes of death in motor vehicle accident (MVA). A complete tracheobronchial injury occurred in 1% of trauma cases and most of the cases died before arrival to the emergency department. We report a 37-year-old female involved in MVA presented to the emergency room (ER) with normal vital signs. Ten minutes later, her saturation dropped to 75%, which required ventilation; however, two attempts for endotracheal intubation failed. The third time frova airway intubating introducer used and succeeded. Immediately after tracheal intubation, the patient started to have extensive subcutaneous emphysema and severe hypoxia; chest X-ray showed right side tension pneumothorax which was not relieved by a chest tube insertion. Bronchoscopy confirmed total transection of the right main bronchus and lower tracheal laceration and injury. Emergency thoracotomy and repair of both trachea and the right main bronchus were successful.

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Section: Discussionmentioning

confidence: 99%

“…[ 2 ] Tracheal injury as a result of force insertion can cause hemorrhage. [ 3 ] Airway trauma can also occur due to high pressure to the trachea during insertion. [ 7 8 ]…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Is it safe to use frova airway intubating device during tracheal intubation in difficult airway patient with multiple and chest trauma?

et al. 2016

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“…A high clinical suspicion index and adequate interpretation of radiological findings are crucial for the diagnoses of these injuries, enabling an urgent surgical intervention with a primary suture of the airways. The proper treatment reduces the risk of death, as well as partial or total bronchial stenosis [2][3][4].…”

Section: Introductionmentioning

confidence: 99%

Posttraumatic disruption of the right main bronchus - a case report

Koledin

Kuhajda

et al. 2019

Med pregl

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Introduction. Tracheobronchial disruption is a rare disorder, usually accompanied by a severe blunt chest trauma that quite rarely appears as an isolated event. Case Report. This is a case report of a right main bronchus disruption, due to an injury to the right hemithorax, caused by a falling tree trunk. The disruption was accompanied by mediastinal emphysema, fractures of the 4th and 5th ribs on the right side and compound sternal fracture. The patient was operated in general anesthesia, through right thoracotomy approach, followed by successful right main bronchus reconstruction by interrupted suture technique, without anatomic resection of the lung parenchyma. Conclusion. Although this injury is rare, with suspicion of bronchial rupture, bronchoscopy confirms the diagnosis and leads to better prognosis.

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“…Tracheobronchial injuries (TBIs) are potentially life-threatening and nearly all injuries are caused by blunt trauma 1. These injuries may be missed initially as these are rare and associated with other grievous injuries which command more attention.…”

Section: Introductionmentioning

confidence: 99%