General and Thoracic Surgery Department, Sant’Anna Hospital,
Ferrara-44124
Italy
Research Article
Conservative Therapy in Iatrogenic Tracheal Rupture: A Retrospective Analysis and a Call for Research
Author(s): Nicola Tamburini, Davide Morri, Carlo Barbetta, Pio Maniscalco, Carlo Alberto Volta, Roberto Zoppellari, Giorgio Cavallesco and Franco RavennaNicola Tamburini, Davide Morri, Carlo Barbetta, Pio Maniscalco, Carlo Alberto Volta, Roberto Zoppellari, Giorgio Cavallesco and Franco Ravenna
Introduction: Iatrogenic tracheal rupture is a rare potentially life-threatening lesion. The best treatment has still not been determined in the case of mechanically ventilated patients for whom surgery has a high mortality rate.
The aim of this study is to assess the role of conservative management in patients with iatrogenic posterior tracheal wall perforation and to verify its role in critically ill mechanically ventilated patients.
Methods: We reviewed the cases occurred at our hospital: a retrospective study was performed and 7 patients over a four-year period were identified. Conservative treatment consisted in endoscopic evaluation of tracheal tear healing and O2 therapy when dealing with spontaneous breathing patients with none or few symptoms without progression. When symptoms progressed and spontaneous ventilation wasn&rs.. Read More»
DOI:
10.4172/2161-105X.1000380
Pulmonary & Respiratory Medicine received 1690 citations as per Google Scholar report