Traumatic Tracheal Injury in the Pediatric Patient

Kelly, Serena; Steelman, Ccrn Robert; Pate, Mary Frances D.

doi:10.1097/nci.0b013e318220cba5

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“…It is important to note even complete tracheal transection can present without visible external signs of injury. 3 The most prevalent sign of tracheal injury documented in the literature is subcutaneous emphysema. 2 , 3 , 5-7 Persistent pneumothoraces after chest tube placement and pneumomediastinum are also important contributing factors in diagnosis.…”

Section: Discussionmentioning

confidence: 99%

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Complete Tracheal Transection Following Blunt Trauma in a Pediatric Patient

Holmes

Hanson²

2015

Journal of Trauma Nursing

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Tracheal injury from blunt trauma is a rare, life-threatening condition in pediatric patients. Rapid assessment and identification of the severity of the injury will increase the likelihood of survival. Subcutaneous emphysema, pneumomediastinum, and persistent pneumothoraces after chest tube placement should be considered in the index of suspicion for tracheal injury. Treatment for a complete tracheal transection includes rapid airway securement via endotracheal tube or tracheostomy and careful surgical repair in the operating room in conjunction with bronchoscopy.

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Section: Discussionmentioning

confidence: 99%

“…3 Early recognition of clinical signs of tracheal injury is paramount to improve patient outcomes (see Table 1 ). It is important to note even complete tracheal transection can present without visible external signs of injury.…”

Section: Discussionmentioning

confidence: 99%