Open AccessTracheal Rupture After Emergent Endotracheal Intubation
Author(s) -
Yin-Lung Chang,
Nai-Chuan Chien,
Szu-Yi Hsu,
Yu-Yung Lai
Publication year - 2008
Publication title -
tzu-chi medical journal/cí-jì yīxué
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.343
H-Index - 15
eISSN - 2223-8956
pISSN - 1016-3190
DOI - 10.1016/s1016-3190(08)60042-7
Subject(s) - medicine , endotracheal intubation , endotracheal tube , intubation , complication , intensive care medicine , tracheal intubation , weakness , risk factor , surgery
Tracheal rupture after endotracheal intubation is a rare but serious complication. Its causes remain unclear but many physicians believe that weakness of the membranous trachea in patients with chronic illness is a leading factor. We present three patients who developed membranous tracheal rupture after emergent endotracheal intubation. Based on our experience and a review of the relevant literature, we emphasize selection of a correctly sized endotracheal tube to minimize the risk of rupture. Use of a smaller endotracheal tube in the emergent setting, especially for patients at potential risk of rupture due to steroid use or chronic illness, is highly recommended