China
Africa
Explore chapters and articles related to this topic
Surgical Emergencies
Published in Anthony FT Brown, Michael D Cadogan, Emergency Medicine, 2020
Anthony FT Brown, Michael D Cadogan
Transfer patients with the following injuries immediately to the operating theatre for an urgent thoracotomy: Penetrating cardiac injury.Massive haemothorax with >1500 mL initial drainage or >200 mL/h for 2–4 h.Persistent large air leak suggesting tracheobronchial injury.Cardiac tamponade following trauma.
Chest injuries
Published in Ian Greaves, Keith Porter, Chris Wright, Trauma Care Pre-Hospital Manual, 2018
Ian Greaves, Keith Porter, Chris Wright
Definitive treatment of tracheobronchial injury is to secure the airway, usually in hospital. A very high threshold should be maintained for attempting this pre-hospital and if the decision to proceed is made, the need for a surgical airway must be expected and planned for. If intubation is successful, the tip of the tube must be below the injury and therefore may need to be inserted further than normal.
Injury to the Esophagus, Trachea, and Bronchus
Published in Stephen M. Cohn, Matthew O. Dolich, Kenji Inaba, Acute Care Surgery and Trauma, 2016
Dated autopsy studies of blunt trauma patients reveal an incidence of tracheobronchial injury in 1%–2.8% of fatalities [1,2]. In a more recent review spanning 9 years including blunt and penetrating mechanisms of injury, the incidence rate of tracheobronchial injury was only 0.13% [3].
Primary repair of a completely ruptured intermediate bronchus after blunt chest trauma. Case report
Published in Acta Chirurgica Belgica, 2022
Tracheobronchial injury is rare but considered the most severe form of chest trauma. It has a fatal course; pre-hospital mortality rate is reported up to 81% [1]. The incidence is estimated from 0.8% to 5% in the scenario of blunt or penetrating chest trauma [2]. However, diagnosis of tracheobronchial injury is difficult and often delayed. We report a case of a completely ruptured intermediate bronchus with delayed diagnosis.