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Acta medica Croatica : Časopis Akademije medicinskih znanosti Hrvatske, Vol. 72 No. 1, 2018.

Ostalo

TENSION PNEUMOTHORAX AFTER TRACHEAL LACERATION DUE TO INTUBATION

ANĐELA BABIĆ ; Klinički bolnički centar Zagreb, Klinika za anesteziologiju, reanimatologiju i intenzivno liječenje, Zagreb, Hrvatska
TAJANA ZAH BOGOVIĆ ; Klinički bolnički centar Zagreb, Sveučilište u Zagrebu, Medicinski fakultet, Klinički bolnički centar Zagreb, Klinika za anesteziologiju, reanimatologiju i intenzivno liječenje, Zagreb, Hrvatska
ANTE ERCEG ; Klinički bolnički centar Zagreb, Klinika za anesteziologiju, reanimatologiju i intenzivno liječenje, Zagreb, Hrvatska
MLADEN PERIĆ ; Klinički bolnički centar Zagreb, Sveučilište u Zagrebu, Medicinski fakultet, Klinički bolnički centar Zagreb, Klinika za anesteziologiju, reanimatologiju i intenzivno liječenje, Zagreb, Hrvatska
SLOBODAN MIHALJEVIĆ ; Klinički bolnički centar Zagreb, Sveučilište u Zagrebu, Medicinski fakultet, Klinički bolnički centar Zagreb, Klinika za anesteziologiju, reanimatologiju i intenzivno liječenje, Zagreb, Hrvatska

Puni tekst: hrvatski pdf 245 Kb

str. 81-84

preuzimanja: 1.293

citiraj

Sažetak

Tracheal laceration is a rare but serious complication that can occur after endotracheal intubation. The incidence of tracheal laceration ranges from 0.01% to 0.37%. We present a case of a 61-year-old patient admitted to the Intensive Care Unit (ICU) of the Department of Anesthesiology, Resuscitation and Intensive Care, Zagreb University Hospital Centre, after colon cancer surgery. The patient showed acute clinical aggravation, presented by sinus tachycardia, hypotension, hypoxia and abdominal distension half an hour upon arrival. Chest ultrasound showed tension pneumothorax initially treated by percutaneous decompression with a needle. Chest x-ray revealed two-sided pneumothorax. Computerized tomography of the thorax demonstrated pneumomediastinum and suspected laceration of the trachea that appeared on bronchoscopy as mild erythema of the mucous membrane. The patient was in the ICU for four days, where he was administered broad spectrum antibiotics and was stable throughout his stay.

Ključne riječi

case report; tracheal laceration; intubation; tension pneumothorax

Hrčak ID:

197906

URI

https://hrcak.srce.hr/197906

Datum izdavanja:

3.4.2018.

Podaci na drugim jezicima: hrvatski

Posjeta: 2.527 *