Tracheal laceration during intubation with a Frova introducer

Chest trauma is the most frequent cause of tracheobronchial injury. Less common but potentially serious are lesions caused during intubation maneuvers in a difficult airway, during repeated attempts, or with stylets or other introducers. Though rare, airway lesions are life-threatening complications...

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Bibliographic Details
Published in:	Revista española de anestesiología y reanimación Vol. 57; no. 9; p. 599
Main Authors:	Vila Caral, P, Castillo Omedas, R, Llubiá Maristany, C
Format:	Journal Article
Language:	Spanish
Published:	Spain 01-11-2010
Subjects:	Cholecystectomy, Laparoscopic Female Hemoptysis - etiology Humans Intraoperative Complications - etiology Intubation, Intratracheal - instrumentation Lacerations - etiology Laryngoscopy Middle Aged Postoperative Complications - etiology Subcutaneous Emphysema - etiology Trachea - injuries
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Summary:	Chest trauma is the most frequent cause of tracheobronchial injury. Less common but potentially serious are lesions caused during intubation maneuvers in a difficult airway, during repeated attempts, or with stylets or other introducers. Though rare, airway lesions are life-threatening complications. We describe the case of a 46-year-old woman undergoing laparoscopic cholecystectomy whose trachea was injured during intubation with a Frova introducer. The lesion manifested with hemoptysis and subcutaneous and mediastinal emphysema early during recovery. The lesion resolved with conservative treatment and there were no sequelae.
ISSN:	0034-9356
DOI:	10.1016/S0034-9356(10)70289-9