Surgical or conservative management of post intubation tracheal injury: when and how?

01 Pubblicazione su rivista
Mantovani Sara, Poggi Camilla, Bassi Massimiliano, Cagnetti Sara, Anile Marco, Venuta Federico
ISSN: 2221-2965

Iatrogenic tracheal or tracheobronchial injuries occur after intubation, percutaneous tracheostomy or rigid bronchoscopy. The incidence is relatively rare; however, this complication can potentially be life-threating. We report 13 patients with an iatrogenic tracheal laceration treated between 2011 and 2019 and a literature review to assess the different treatment options. On the base of our experience and the review of the literature surgical treatment remains the gold standard; conservative management is safe in clinically stable patients without complications like pneumomediastinum, mediastinitis or oesophageal laceration.

© Università degli Studi di Roma "La Sapienza" - Piazzale Aldo Moro 5, 00185 Roma