Traumatic tracheal laceration in a pediatric patient medically managed with high-frequency oscillatory ventilation

Pediatric Emergency Care
Minnette M Markus-RoddenLisanne C Hauck

Abstract

A 12-year-old boy presented to the emergency department in respiratory failure with massive subcutaneous emphysema extending from his head to his thighs. This resulted after he fell onto an industrial trash receptacle (dumpster) striking his right lateral neck. Airway management was obtained through an oral endotracheal tube in the emergency department. Initial scans revealed massive subcutaneous emphysema and pockets of anterior air suggestive of a tracheal tear. The patient was conservatively managed without surgical repair using high-frequency oscillatory ventilation through an oral endotracheal tube. Injuries to the trachea are exceedingly rare in the pediatric population. These patients have a high morbidity and mortality likely due to delay in proper diagnosis of this injury. Historically, these patients have been treated with surgical correction of the injury. Management of tracheal tears without surgical intervention may be possible if the endotracheal tube is able to stent the wound and allow for wound healing.

References

Oct 1, 1991·Pediatric Emergency Care·A Humar, C Pitters
Mar 1, 1997·The Laryngoscope·S R SchoemG H Zalzal
Dec 12, 2001·The Journal of Trauma·J LongJ LaSpada
Jul 13, 2002·The Journal of Emergency Medicine·Richard Lichenstein, Darren L Gillette
Oct 31, 2002·Journal of Pediatric Surgery·Stephane FeatBenoit Godey
Jun 24, 2004·Journal of Pediatric Surgery·Oscar D GuillamondeguiTimothy M Crombleholme
Dec 24, 2004·Anesthesia and Analgesia·Martin BeiderlindenJürgen Peters

❮ Previous
Next ❯

Citations

Aug 3, 2011·AACN Advanced Critical Care·Serena Phromsivarak KellyMary Frances D Pate
Oct 5, 2016·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Benjamin NicholsonLouis Seay
Jan 15, 2015·Journal of Trauma Nursing : the Official Journal of the Society of Trauma Nurses·Jessica E Holmes, Carol A Hanson
Jun 27, 2021·Seminars in Pediatric Surgery·Maria Carratola, Catherine K Hart

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

The Journal of Trauma
Umesh S Marathe, LenhAnh P Tran
Dermatology : International Journal for Clinical and Investigative Dermatology
E M Elamin, A B McDonald
The Canadian Journal of Plastic Surgery = Journal Canadien De Chirurgie Plastique
Joseph J Thornton, James Dolph
© 2022 Meta ULC. All rights reserved