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359766

Anaesthetic management of primary repair of complete right bronchial rupture following blunt chest trauma

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Last updated: 29 Dec 2024

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Abstract

Tracheobronchial injury is a rare incidence after blunt trauma injury. Isolated complete bronchial tear is very rare. If it is not managed properly and timely, it can lead to significant morbidity and mortality. Clinical manifestations of tracheobronchial injury include persistent pneumothorax, subcutaneous emphysema, pneumomediastinum and respiratory insufficiency. Anaesthesiologists face challenges while securing the airway, controlling oxygenation, managing one-lung ventilation and maintaining anaesthesia during airway surgery. The preferred airway management technique is to intubate the healthy bronchus with a single-lumen or double-lumen endotracheal tube. We report successful anaesthetic management of complete traumatic rupture of the right main bronchus at the carina in adult male patients by using a left-sided double-lumen endotracheal tube. After induction, right thoracotomy was performed and bronchial transection was repaired successfully. Early correct diagnosis and proper repair can lead to excellent outcome.

DOI

10.4103/1687-9090.172751

Keywords

Bronchial transection, double-lumen endotracheal tube, tracheobronchial injury

Authors

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Santosh

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Orcid

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First Name

Saiyed

Last Name

Anjum

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Orcid

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First Name

Meena

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Reema

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First Name

Chand Kishan

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Vyas

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Volume

9

Article Issue

3

Related Issue

48407

Issue Date

2015-09-01

Receive Date

2015-06-25

Publish Date

2015-09-01

Print ISSN

1687-9090

Online ISSN

2090-326X

Link

https://ejca.journals.ekb.eg/article_359766.html

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https://ejca.journals.ekb.eg/service?article_code=359766

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359,766

Publication Type

Journal

Publication Title

The Egyptian Journal of Cardiothoracic Anesthesia

Publication Link

https://ejca.journals.ekb.eg/

MainTitle

Anaesthetic management of primary repair of complete right bronchial rupture following blunt chest trauma

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Article

Created At

20 Dec 2024