We present three cases of iatrogenic tracheal injury. Two patients suffered acute tracheal injuries during anesthesia/surgery, one was managed surgically and the other conservatively. The third case is a delayed tracheal injury presenting as a fistula. The reasons for surgical vs conservative management of tracheal injuries and preventive measures are discussed.
Rushman GB, Davies NJ, Cashman JN. The administration of volatile anaesthetics and gases; In: Lee′s Synopsis of Anaesthesia, Butterworth Heinemann: Oxford; 1999. p. 152-73.
Rushman GB, Davies NJ, Cashman JN. Surgical operations and choice of anaesthetic; In: Lee′s Synopsis of Anaesthesia. Butterworth Heinemann: Oxford; 1999. p. 385-492.
Spaggiari L, Rusca M, Carbognani P, Solli P. Tracheobronchial laceration after double-lumen intubation for thoracic procedures. Ann Thorac Surg 1998;65:1837-8.
Massard G, Rouge C, Dabbagh A, Kessler R, Hentz J, Roeslin N, et al. Tracheobronchial lacerations after intubation and tracheostomy. Ann Thorac Surg 1996;61:1483-7.
Nazari S, Buniva P, Aluffi A, Salvi S, Mourad Z. Decompressing tracheostomy for the treatment of postintubation tracheal rupture. Ann Thorac Surg 1996;68:1121-7.
Personne C, Kleinmann P, Bisson A, Toty L. Les dechirures tracheobronchiques par sonde de Carlens. Ann Chir 1987;41:494-7.
Kaloud H, Smolle-Juettner F, Prause G, List WF. Iatrogenic ruptures of the tracheobronchial tree. Chest 1997;112:774-8.
Massard G, Wihlm J, Roeslin N, Frankhauser J, Hentz J, Dumont P, et al. Plaies tracheobronchiques iatrogenes au cours de l′intubation. 5 observations et revue de la litterature. J Chir Paris 1992;129:297-302.
Evagelopoulos N, Tossios P, Wanke W, Krian A. Tracheobronchial rupture after emergency intubation. Thorac Cardiovasc Surg 1999;47:395-7.
Berry M, Van-Schil P, Van-Meerbeeck J, Vanmaele R, Eyskens E. Surgical treatment of iatrogenic tracheal lacerations. Acta Chir Belg 1997;97:308-10.
Couraud L, Jougon J, Velly JF. Surgical treatment of nontumoral stenoses of the upper airway. Ann Thorac Surg 1995;60:250-9.