ELEKTİF ENTÜBASYON SONRASINDA FARKEDİLMEYEN TRAKEAL RÜPTÜR

Abstract

Tracheal rupture is a rare but potentially a life-threatening condition. However sometimes, the symptoms and signs may be delayed. A case of tracheal rupture after elective orotracheal intubation for laparoscopic surgery who presented the next day to the emergency department with dyspnea is being presented. Tracheal rupture may present after hours, careful physical examination and diagnostic evaluation is crucial to decide the appropriate management plan

Keywords

• Dyspnea, Intraoperative Intubation, Subcutaneous Emphysema, Bronchoscopy, Complication

UNRECOGNIZED TRACHEAL RUPTURE AFTER ELECTIVE INTUBATION

Abstract

Trakeal rüptür nadir, fakat hayatı tehdit edebilecek bir komplikasyondur. Ancak bazen, semptom ve bulgular geç ortaya çıkabilir. Bu yazıda geçirdiği laparoskopik cerrahi öncesi elektif orotrakeal entübasyon yapılan, ertesi gün acil servise dispne şikayeti ile başvuran trakeal rüptürlü bir olgu sunulmuştur. Trakeal rüptür, geliştikten saatler sonra bulgu verebilir, dikkatli bir fizik muayene ve tanısal inceleme uygun tedavi yaklaşımına karar vermek için önemlidir

Keywords

• Dispne, Intraoperatif Entubasyon, Subkutan Amfizem, Bronkoskopi, Komplikasyon

References

1. Schneider T, Storz K, Dienemann H, Hoffmann H. Management of iatrogenic tracheobronchial injuries: a retrospective analysis of 29 cases. Ann Thorac Surg 2007;83:1960-4.
2. Sternfeld D, Wrigth S. Tracheal rupture and the creation of a false passage after emergency intubation. Ann Emerg Med 2003;42:88- 92.
3. Camkurt MA, Coşkun F, Aksu NM, Karakılıç E, Rama- dan H, Özcan H, ve ark. Entübasyona bağlı gelişen nadir bir komplikasyon:Trakeal rüptür olgu sunumu. Akademik Acil Tıp Dergisi 2008;7:40-42.
4. Hofmann HS, Rettig G, Radke J, Neef H, Silber RE. Iatrogenic ruptures of the tracheobronchial tree. Eur J Cardiothorac Surg. 2002;21:649-652.
5. Carbognani P, Bobbio A, Cattelani L, Internullo E, Caporale D, Rusca M. Management of postintubation membranous tracheal rupture. Ann Thorac Surg 2004;77:406-9.
6. Conti M, Pougeoise M, Wurtz A, Porte H, Fourrier F, Ramon et al. management of postintubation tracheobronchial ruptures. Chest 2006;130:412-18.
7. Miñambres E, Burón J, Ballesteros MA, Llorca J, Muñoz P, González-Castro A. Tracheal rupture after endotracheal intu- bation: a literature systematic review. Eur J Cardiothorac Surg 2009;35:1056-62.