IATROGENIC TRACHEAL RUPTURE CAUSED BY EMERGENCY INTUBATION: A CASE REPORT

摘要

Background: Iatrogenic tracheal rupture is a rare but life-threatening complication. If suspected by clinical examination or chest radiograph, a computed tomography scan can confirm the diagnosis, but the criterion standard is a bronchoscopy. There is no consensus on its management. Case Report: A 52-year-old woman was intubated in a prehospital setting after cardiac arrest. A gradual appearance of subcutaneous emphysema was observed after intubation. A computed tomography scan revealed a complicated tracheal rupture, pneumomediastinum, and pneumothorax. The management was surgical. Why Should An Emergency Physician Be Aware of This?: Intubation in emergency conditions increases the risk of tracheal rupture and a delay in management is an important prognostic factor. (C) 2018 Elsevier Inc. All rights reserved.