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CASE REPORT
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| Iatrogenic tracheobronchial rupture: A case report and review of the literature |
| Alexander Zlotnik1, Shaun E. Gruenbaum2, Benjamin F. Gruenbaum1, Michael Dubilet1, Evgenia Cherniavsky3 |
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1Department of Anesthesiology and Critical Care, Soroka Medical Center, Ben Gurion University, Beer Sheva, Israel
2 Department of Anesthesiology, Yale University School of Medicine, New Haven, CT, USA. 3 Department of Radiology, Soroka Medical Center, Ben Gurion University, Beer Sheva, Israel. |
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doi:10.5348/ijcri-2011-03-24-CR-4
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Address correspondence to: Alexander Zlotnik Department of Anesthesiology Soroka Medical Center POB 151, Beer-Sheva, 84105 Israel Phone: 972-8-6400262 Fax: 972-8-6403795 Email: zlotnika@bgu.ac.il |
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| How to cite this article: |
| Zlotnik A, Gruenbaum SE, Gruenbaum BF, Dubilet M, Cherniavsky E. Iatrogenic tracheobronchial rupture: A case report and review of the literature. International Journal of Case Reports and Images 2011;2(3):12-16. |
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Abstract
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Introduction:
We present a case of a 37-year-old female who suffered an iatrogenic tear of the trachea following a non-traumatic intubation for an uncomplicated, elective cesarean section under general anesthesia.
Case Report: Fifty minutes after extubation, the patient developed hemodynamic instability and respiratory distress, which required re-intubation, and the trachea was surgically repaired. Tracheal rupture is a rare but potentially life-threatening lesion, and a delay in the diagnosis and treatment is associated with a poor outcome. Conclusion: The diagnosis and treatment of tracheal rupture is discussed in this report, especially in the context of pregnant patients. The authors recommend early surgical repair of the trachea in patients who suffer post-intubation tracheal injury complicated by respiratory failure or hemodynamic instability. | |
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Key Words:
Cesarean section, Iatrogenic Tracheobronchial rupture, Intubation
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Author Contributions:
Alexander Zlotnik - Conception and design, Drafting the article, Critical revision of the article, Final approval of the version to be published Shaun E. Gruenbaum - Conception and design, Drafting the article, Critical revision of the article, Final approval of the version to be published Michael Dubilet - Conception and design, Drafting the article, Critical revision of the article, Final approval of the version to be published Evgenia Cherniavsky - Conception and design, Drafting the article, Critical revision of the article, Final approval of the version to be published Benjamin F. Gruenbaum - Conception and design, Drafting the article, Critical revision of the article, Final approval of the version to be published |
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Guarantor of submission:
The corresponding author is the guarantor of submission. |
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Source of support:
None |
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Conflict of interest:
The author(s) declare no conflict of interests |
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Copyright:
© Alexander Zlotnik et. al. 2010; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.) |
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