alexa Successful Management of Complete Tracheal Disruption after Blunt Trauma: A Case Report
ISSN: 2319-9865

Research & Reviews: Journal of Medical and Health Sciences
Open Access

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Short Communication

Successful Management of Complete Tracheal Disruption after Blunt Trauma: A Case Report

Surinder Kumar Goyal1*, Harish Chander Sachdeva1 and Rajinder Kumar Goyal2

1Department of Anesthesiology and Intensive Care, VMMC and Safdarjung Hospital, New Delhi - 110029, India.

2Department of Respiratory Medicine, Karpagam Faculty of Medical Sciences & Research, Coimbatore, Tamilnadu, India.

*Corresponding Author:
Surinder Kumar Goyal
Department of Anesthesiology and Intensive Care
VMMC and Safdarjung Hospital
New Delhi - 110029, India

Received: 18 July 2013 Accepted: 01 September 2013

 

Abstract

We present here a case of 22 years old male who sustained road traffic accident, crushed between two vehicles, suffering complete transaction of the trachea extending from C7-D1 level to D3-4 level. Patient sought immediate medical assistance at the nearest medical centre with complaints of respiratory distress and subcutaneous emphysema; referred to a tertiary care hospital. Fibreoptic bronchoscopy was performed; airway was secured by placing the endotracheal tube tip distal to the distal tracheal disruption site. It was an interesting and challenging case, as patient had only airway trauma and no other injury. Surgical repair was done on 8th day of injury. Patient developed chest infections and septicemia, treated as per sepsis guidelines and using mechanical ventilation. He responded to treatment, recovered and was extubated on 40th day. Tracheal stenosis at the site of repair was observed on Fibreoptic bronchoscopy and CECT (Contrast enhanced computer tomography) chest.

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