Post-intubation tracheal rupture during transcatheter aortic valve implantation

Bazarov, Dmitry; Еременко, А. А.; Бабаев, М А; Zyulyaeva, T.P.; Vyzhigina, M A; Kavochkin, A. A.; Kabakov, D. G.; Чундокова, М. А.

doi:10.17116/hirurgia2017754-58

Cited by 5 publications

(1 citation statement)

References 12 publications

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“…Опыт использования ЭКМО при лечении разрыва трахеи. В литературе описаны редкие случаи, когда пациенту с разрывом трахеи и показаниями к оперативному лечению, но при этом невозможностью по тем или иным причинам его выполнить, проводилось ЭКМО, как альтернативный вариант [15]. Мы имеем опыт лечения одного больного с применением ЭКМО при повреждении трахеи.…”

Section: результатыunclassified

Surgical treatment of patients with ruptures of the trachea

Tishchenko¹,

Fufayev²,

Barinov³

2022

Russian Military Medical Academy Reports

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BACKGROUND: Currently, the incidence of iatrogenic ruptures of the trachea averages 0.020.07% with elective tracheostomy and intubation, but in the event of an emergency procedure, this figure rises to 15%. The feasibility and validity of the use of one or another method of treating tracheal injuries is the subject of discussion among the authors of scientific studies and specialists. There is no single generally accepted method of treatment that would be effective for various types and degrees of damage to the tracheal wall. AIM: to determine the indications for various types of surgical intervention based on the analysis of the results of treatment of patients with tracheal ruptures. MATERIALS AND METHODS: The study included 10 patients with iatrogenic tracheal ruptures. All patients underwent a comprehensive diagnosis using physical, laboratory, radiation and instrumental methods of research, as well as an analysis of the effectiveness of various methods of treating tracheal rupture, depending on the nature of the injury. RESULTS: Patients with grade 1 and 2 tracheal injury with no or uncomplicated gas syndrome are treated conservatively. In patients with grade 2 tracheal injury and progressive gas syndrome, tracheostomy and mediastinal drainage are effective. With ruptures to the entire depth of the wall (3A and 3B degrees), surgical intervention with suturing of the trachea is indicated. In the case of functional inoperability of a patient with severe tracheal ruptures, one of the effective treatment options is the use of extracorporeal membrane oxygenation in combination with minimally invasive drainage interventions. CONCLUSION: indications for various methods of treatment of patients with tracheal ruptures have been formulated. The developed management algorithm is used in providing care to patients with tracheal injury in hospitals of the S.M. Kirov Military Medical Academy.

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Section: результатыunclassified

Surgical treatment of patients with ruptures of the trachea

Tishchenko¹,

Fufayev²,

Barinov³

2022

Russian Military Medical Academy Reports

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Post-intubation rupture of thoracic trachea in a patient with iatrogenic esophageal perforation and mediastinitis

Даниелян¹,

Tarabrin²,

Rabadanov³

et al. 2023

Khir. Z. im. N.I. Pirogova

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The possibilities for the prevention of incompetent tracheorrhaphy

Иноземцев

Kurgansky

Лепехова

et al. 2018

Vestn. otorinolaringol.

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The present review of the literature is focused on the methods designed for the prevention of incompetent tracheorrhaphy. The main cause that dictates the necessity of strengthening the sutures is the risk of the development of the complications during the postoperative period following the surgical interventions. The incompetence of the tracheal anastomoses is known to occur in 3.6-26.3% of the patients which leads to the development of such complications as neck phlegmon, mediastinitis, and pleural empyema. The mortality rate amounts to 18.2%. The authors describe the methods employed for the prevention of incompetent tracheorrhaphy following the circular resections and suturing of the linear traumatic defects. The advantages and disadvantages of individual methods are discussed.

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Post-intubation tracheal rupture during transcatheter aortic valve implantation

Cited by 5 publications

References 12 publications

Surgical treatment of patients with ruptures of the trachea

Surgical treatment of patients with ruptures of the trachea

Post-intubation rupture of thoracic trachea in a patient with iatrogenic esophageal perforation and mediastinitis

The possibilities for the prevention of incompetent tracheorrhaphy

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