Novel Airway and Ventilator Management of Tracheobronchial Disruption After Blunt Trauma.

Mehdiratta N, Archer M, Stewart M, Dennis B, Grogan E
Ann Thorac Surg. 2017 104 (5): e359-e361

PMID: 29054228 · DOI:10.1016/j.athoracsur.2017.06.032

Tracheobronchial injuries can be difficult to diagnose and manage, especially in the presence of polytrauma. A 50-year-old woman presented as a Level I trauma activation after being struck by a motor vehicle. Initial evaluation demonstrated intracranial hemorrhage and multiple chest injuries, including multilevel bilateral rib fractures, pneumomediastinum, and concern for tracheobronchial injury. After initial stabilization, bronchoscopy was performed and demonstrated an injury to the carina. We report a novel airway and ventilation strategy in the setting of concomitant tracheobronchial injury after severe blunt chest trauma in which extracorporeal support is contraindicated.

Copyright © 2017 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

MeSH Terms (18)

Accidents, Traffic Bronchi Bronchoscopy Combined Modality Therapy Female Follow-Up Studies Humans Injury Severity Score Middle Aged Multiple Trauma Positive-Pressure Respiration Radiography, Thoracic Risk Assessment Thoracic Injuries Trachea Trauma Centers Treatment Outcome Wounds, Nonpenetrating

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