Traumatic intrathoracic tracheobronchial injuries: A study of 78 cases

Background:Tracheobronchial injuries are encountered with increasing frequency because of improvements in pre-hospital care. We reviewed our experience of these injuries to determine how to better recognize them and facilitate their correct management. Methods:Patients with traumatic non-iatrogenic...

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Published in:	Asian cardiovascular & thoracic annals Vol. 22; no. 7; pp. 816 - 823
Main Authors:	Alassal, Mohamed A, Ibrahim, Bedir M, Elsadeck, Nabil
Format:	Journal Article
Language:	English
Published:	London, England SAGE Publications 01-09-2014
Subjects:	Adolescent Adult Aged Aged, 80 and over Bronchi - injuries Bronchi - surgery Bronchoscopy Female Humans Intensive Care Units Length of Stay Male Middle Aged Retrospective Studies Saudi Arabia Tertiary Care Centers Thoracic Injuries - diagnosis Thoracic Injuries - therapy Thoracic Surgical Procedures Time Factors Tomography, X-Ray Computed Trachea - diagnostic imaging Trachea - injuries Trachea - surgery Treatment Outcome Wounds, Nonpenetrating - diagnosis Wounds, Nonpenetrating - therapy Wounds, Penetrating - diagnosis Wounds, Penetrating - therapy Young Adult Bronchoscopy Wounds nonpenetrating penetrating Trachea Bronchi
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Abstract	Background:Tracheobronchial injuries are encountered with increasing frequency because of improvements in pre-hospital care. We reviewed our experience of these injuries to determine how to better recognize them and facilitate their correct management. Methods:Patients with traumatic non-iatrogenic intrathoracic tracheobronchial injuries managed in 2 tertiary centers in Saudi Arabia between 2000 and 2012, were studied. Clinical presentation, diagnostic evaluation, management, and outcome were reviewed. Results:78 patients with tracheobronchial injuries were included in this study. They were divided into 2 groups according to the management strategy. Forty-seven patients who were managed conservatively, and 31 underwent surgery. Surgery allowed shorter intensive care unit and hospital stays; otherwise, the results were comparable between the two groups. Conclusions:Early recognition and expedient appropriate management are essential in these potentially lethal injuries. Operative management can be achieved with acceptable mortality, and conservative treatment should be considered as a valuable alternative to the well-established surgical treatment.
AbstractList	BACKGROUNDTracheobronchial injuries are encountered with increasing frequency because of improvements in pre-hospital care. We reviewed our experience of these injuries to determine how to better recognize them and facilitate their correct management.METHODSPatients with traumatic non-iatrogenic intrathoracic tracheobronchial injuries managed in 2 tertiary centers in Saudi Arabia between 2000 and 2012, were studied. Clinical presentation, diagnostic evaluation, management, and outcome were reviewed.RESULTS78 patients with tracheobronchial injuries were included in this study. They were divided into 2 groups according to the management strategy. Forty-seven patients who were managed conservatively, and 31 underwent surgery. Surgery allowed shorter intensive care unit and hospital stays; otherwise, the results were comparable between the two groups.CONCLUSIONSEarly recognition and expedient appropriate management are essential in these potentially lethal injuries. Operative management can be achieved with acceptable mortality, and conservative treatment should be considered as a valuable alternative to the well-established surgical treatment. Tracheobronchial injuries are encountered with increasing frequency because of improvements in pre-hospital care. We reviewed our experience of these injuries to determine how to better recognize them and facilitate their correct management. Patients with traumatic non-iatrogenic intrathoracic tracheobronchial injuries managed in 2 tertiary centers in Saudi Arabia between 2000 and 2012, were studied. Clinical presentation, diagnostic evaluation, management, and outcome were reviewed. 78 patients with tracheobronchial injuries were included in this study. They were divided into 2 groups according to the management strategy. Forty-seven patients who were managed conservatively, and 31 underwent surgery. Surgery allowed shorter intensive care unit and hospital stays; otherwise, the results were comparable between the two groups. Early recognition and expedient appropriate management are essential in these potentially lethal injuries. Operative management can be achieved with acceptable mortality, and conservative treatment should be considered as a valuable alternative to the well-established surgical treatment. Background:Tracheobronchial injuries are encountered with increasing frequency because of improvements in pre-hospital care. We reviewed our experience of these injuries to determine how to better recognize them and facilitate their correct management. Methods:Patients with traumatic non-iatrogenic intrathoracic tracheobronchial injuries managed in 2 tertiary centers in Saudi Arabia between 2000 and 2012, were studied. Clinical presentation, diagnostic evaluation, management, and outcome were reviewed. Results:78 patients with tracheobronchial injuries were included in this study. They were divided into 2 groups according to the management strategy. Forty-seven patients who were managed conservatively, and 31 underwent surgery. Surgery allowed shorter intensive care unit and hospital stays; otherwise, the results were comparable between the two groups. Conclusions:Early recognition and expedient appropriate management are essential in these potentially lethal injuries. Operative management can be achieved with acceptable mortality, and conservative treatment should be considered as a valuable alternative to the well-established surgical treatment.
Author	Alassal, Mohamed A Ibrahim, Bedir M Elsadeck, Nabil
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BackLink	https://www.ncbi.nlm.nih.gov/pubmed/24585278$$D View this record in MEDLINE/PubMed
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CitedBy_id	crossref_primary_10_12998_wjcc_v10_i16_5185 crossref_primary_10_15406_jaccoa_2015_03_00082 crossref_primary_10_1016_j_injury_2020_07_026 crossref_primary_10_17816_rmmar104694 crossref_primary_10_17816_rmmar104679 crossref_primary_10_1016_j_chest_2018_07_018 crossref_primary_10_1016_j_cjtee_2020_04_003 crossref_primary_10_17116_hirurgia2017754_58 crossref_primary_10_1007_s40719_015_0025_8 crossref_primary_10_1177_0218492319893822 crossref_primary_10_1016_j_amsu_2022_104121
Cites_doi	10.1016/S0003-4975(00)01077-8 10.1007/s00595-005-3001-z 10.1016/j.icvts.2004.02.016 10.1016/j.hlc.2006.12.009 10.1177/021849230801600117 10.1177/0218492309349067 10.1016/j.athoracsur.2008.02.095 10.1016/j.thorsurg.2007.03.005 10.1007/s00268-011-1227-z 10.1016/S0003-4975(00)02453-X 10.1016/j.jtcvs.2007.04.053 10.1177/021849239900700119 10.1016/j.ejcts.2009.07.034 10.1016/j.jtcvs.2006.10.040 10.1016/j.athoracsur.2007.01.042 10.1016/S1010-7940(01)00702-3 10.1177/021849230000800425 10.1007/s003300051049 10.1016/S1010-7940(02)00591-2 10.1016/j.athoracsur.2004.10.006 10.1177/0310057X0203000204
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Keywords	Bronchoscopy Wounds nonpenetrating penetrating Trachea Bronchi
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Snippet	Background:Tracheobronchial injuries are encountered with increasing frequency because of improvements in pre-hospital care. We reviewed our experience of... Tracheobronchial injuries are encountered with increasing frequency because of improvements in pre-hospital care. We reviewed our experience of these injuries... BACKGROUNDTracheobronchial injuries are encountered with increasing frequency because of improvements in pre-hospital care. We reviewed our experience of these...
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SubjectTerms	Adolescent Adult Aged Aged, 80 and over Bronchi - injuries Bronchi - surgery Bronchoscopy Female Humans Intensive Care Units Length of Stay Male Middle Aged Retrospective Studies Saudi Arabia Tertiary Care Centers Thoracic Injuries - diagnosis Thoracic Injuries - therapy Thoracic Surgical Procedures Time Factors Tomography, X-Ray Computed Trachea - diagnostic imaging Trachea - injuries Trachea - surgery Treatment Outcome Wounds, Nonpenetrating - diagnosis Wounds, Nonpenetrating - therapy Wounds, Penetrating - diagnosis Wounds, Penetrating - therapy Young Adult
Title	Traumatic intrathoracic tracheobronchial injuries: A study of 78 cases
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