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  5. Iatrogenic tracheal rupture after extubation in the context of acute decompensated heart failure and cardiac device implantation: a case report
 
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Iatrogenic tracheal rupture after extubation in the context of acute decompensated heart failure and cardiac device implantation: a case report

Journal
Oxford Medical Case Reports
ISSN
2053-8855
Date Issued
2021-07-01
Author(s)
Kuridze, Nika  
Caucasus University  
Kakhaber Etsadashvili
Eteri Minadze
Nani Gonjilashvili
Mikheil Tsverava
Publisher
Oxford University Press (OUP)
DOI
10.1093/omcr/omab051
URI
https://openscience.ge/handle/1/8036
Abstract
Iatrogenic tracheal rupture is a life-threatening airway complication. It has a very low reported incidence and is more prevalent in women and patients over 50 years of age. The most frequent clinical manifestations of tracheal injury are subcutaneous emphysema and respiratory distress.We report a case of a 65-year-old woman with cardiac resynchronization therapy defibrillator implantation under general anesthesia. Shortly after extubation, dyspnea and subcutaneous emphysema appeared. The X-ray showed pneumomediastinum, pneumopericardium and pneumoperitoneum. The tracheal rupture was confirmed by bronchoscopy. After conservative treatment, the patient’s well-being improved, and she was discharged from the hospital in a satisfactory condition.
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Iatrogenic tracheal r...

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Iatrogenic tracheal rupture after extubation in the context of acute decompensated heart failure and cardiac device implantation: a case report

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