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TENSION PNEUMOTHORAX AFTER TRACHEAL LACERATION DUE TO INTUBATION
ANĐELA BABIĆ
; Zagreb University Hospital Center, Department of Anesthesiology, Resuscitation and Intensive Medicine, Zagreb, Croatia
TAJANA ZAH BOGOVIĆ
; University of Zagreb, School of Medicine, Zagreb University Hospital Center, Department of Anesthesiology, Resuscitation and Intensive Medicine, Zagreb, Croatia
ANTE ERCEG
; Zagreb University Hospital Center, Department of Anesthesiology, Resuscitation and Intensive Medicine, Zagreb, Croatia
MLADEN PERIĆ
; University of Zagreb, School of Medicine, Zagreb University Hospital Center, Department of Anesthesiology, Resuscitation and Intensive Medicine, Zagreb, Croatia
SLOBODAN MIHALJEVIĆ
; University of Zagreb, School of Medicine, Zagreb University Hospital Center, Department of Anesthesiology, Resuscitation and Intensive Medicine, Zagreb, Croatia
Abstract
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.
Keywords
case report; tracheal laceration; intubation; tension pneumothorax
Hrčak ID:
197906
URI
Publication date:
3.4.2018.
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