No Air Leak on PPV does not Exclude Tracheobronchial Injury after Blunt Chest Trauma - 15/08/11
, Kenneth Hock Soon Tan, MMed, FCCP b
Corresponding author at: c/o Department of Emergency Medicine, Alexandra Hospital, 378 Alexandra Road, Singapore 159964, Singapore. Tel.: +65 637932169; fax: +65 64793102.Résumé |
Tracheobronchial injuries are commonly associated with persistent air leak with pneumothoraces especially when on positive pressure ventilation (PPV).
Injuries with absence of these features together with collapse of the lung and consequent low arterial oxygen tension while on PPV are less well recognised.
We present a patient with traumatic aortic dissection and preoperatively undiagnosed complete transaction of the left main bronchus following blunt chest trauma. He had no persistent air leak with lower lung lobe collapse despite undergoing PPV and had low arterial oxygen tension which failed to respond to appropriate oxygen therapy.
Le texte complet de cet article est disponible en PDF.Keywords : Tracheobronchial injury, Transaction of bronchus, Blunt chest trauma, Airway injury, Air leak, Pneumothorax, Bronchoscopy, Positive pressure ventilation
Plan
Vol 17 - N° 2
P. 163-166 - avril 2008 Retour au numéro
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- Lung Cancer Masquerading as Prosthetic Valve Endocarditis
- Omar A. Khan, Vanessa Rogers, Raj Sharma, Sunil K. Ohri
- The Australasian Society of Cardiac and Thoracic Surgeons
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