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Anaesthetic Management of Tracheobronchial Rupture Following Blunt Chest Trauma Publisher Pubmed



Naghibi K2, 3 ; Hashemi SL1 ; Sajedi P1
Authors
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Authors Affiliations
  1. 1. Isfahan Univ. of Medical Sciences, Isfahan, Iran
  2. 2. Clin. Fellowship St. George's Hosp., London, United Kingdom
  3. 3. Department of Anesthesiology, Alzahra General Hospital, Isfahan Univ. of Medical Sciences, Isfahan, Iran

Source: Acta Anaesthesiologica Scandinavica Published:2003


Abstract

Injuries to the tracheobronchial tree are a well-recognized sequel of massive blunt trauma to the chest, and although unusual, are life threatening. We report a 16-year-old-boy who developed complete disruption of both bronchi after a motor vehicle accident. After induction of general anaesthesia and oral intubation, ventilation could not be maintained, and oxygenation worsened abruptly with peripheral oxygen saturation values less than 60%. Jet ventilation through two intrabronchial catheters, inserted via emergency thoracotomy, raised the saturation from 60% to 100%, and surgery thereafter was straightforward. The anaesthetic management of tracheobronchial repair is discussed. © Acta Anaesthesiologica Scandinavica.