| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Ann Thorac Surg 2000;69:1563-1567
© 2000 The Society of Thoracic Surgeons
a Department of Surgery, The University of Tennessee Medical Center at Knoxville, Knoxville, Tennessee, USA
Address reprint requests to Dr Cassada, Department of Surgery, The University of Tennessee Medical Center, Box U-11, 1924 Alcoa Hwy, Knoxville, TN 37920
Background. Tracheobronchial injuries are encountered with increasing frequency because of improvements in prehospital care and early initiation of the Advanced Trauma Life Support protocol. We review our experience with these injuries with the hypothesis that the leading determinant of patient outcome is the time interval to diagnosis.
Methods. Patients with tracheobronchial injury were identified from the registry of our level 1 trauma center during a 10-year period ending December 1997. Clinical presentation, diagnostic evaluation, surgical management, and outcome were reviewed.
Results. Twenty patients with ten cervical tracheal injuries and ten intrathoracic tracheobronchial injuries were treated. The mechanism of injury involved blunt trauma in 11 and penetrating trauma in 9. All patients underwent surgical debridement and primary repair. Patients with isolated airway injuries were discharged home after a mean hospital stay of 6 days and had no early complications. Three patients had delayed diagnosis (> 24 hours), and all sustained complications including death (1 patient) and multiorgan system failure (2 patients). The overall mortality rate was 15%.
Conclusions. Operative management of tracheobronchial injuries can be achieved with acceptable mortality. Independent of mechanism or anatomic location of injury, delay in diagnosis is the single most important factor influencing outcome. Early recognition of tracheobronchial injury and expedient institution of appropriate surgical intervention are essential in these potentially lethal injuries.
This article has been cited by other articles:
|
|
 |
|
  P. T Mihos, K. Potaris, I. Gakidis, P. M Myrianthefs, and G. J Baltopoulos Clear-Cut Complete Rupture of Origin of Right Main Bronchus Asian Cardiovasc Thorac Ann, February 1, 2008; 16(1): 65 - 67. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. H. Burack, E. Kandil, A. Sawas, P. A. O'Neill, S. J.A. Sclafani, R. C. Lowery, and M. E. Zenilman Triage and Outcome of Patients with Mediastinal Penetrating Trauma Ann. Thorac. Surg., February 1, 2007; 83(2): 377 - 382. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Gomez-Caro Andres, F. J. Moradiellos Diez, P. Ausin Herrero, V. Diaz-Hellin Gude, E. Larru Cabrero, E. de Miguel Porch, and J. L. Martin De Nicolas Successful Conservative Management in Iatrogenic Tracheobronchial Injury Ann. Thorac. Surg., June 1, 2005; 79(6): 1872 - 1878. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 T. T. V. Pechet, L. Bogar, and Z. Grunwald Anesthetic Considerations for Thoracic Trauma Seminars in Cardiothoracic and Vascular Anesthesia, June 1, 2002; 6(2): 95 - 103. [Abstract] [PDF]
|
|
|
|
 |
|
 A. Mussi, M. C. Ambrogi, A. Ribechini, M. Lucchi, F. Menoni, and C. A. Angeletti Acute major airway injuries: clinical features and management Eur. J. Cardiothorac. Surg., July 1, 2001; 20(1): 46 - 52. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. H. Cole Jr, J. W. Pate, and D. Weiman The surgeon and the follow-up clinic Ann. Thorac. Surg., February 1, 2001; 71(2): 757 - 757. [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
