Anesth Pain Med.  2017 Jan;12(1):52-55. 10.17085/apm.2017.12.1.52.

Perioperative management of tracheal injury following endotracheal intubation in a neonate: A case report

• Lee SK
• Chang DJ
• Park EY
• Lim T
• Kim KM
• Jang SW
• Joo S

• KMID: 2369667
• DOI: http://doi.org/10.17085/apm.2017.12.1.52

Abstract

Tracheal injury in neonates is a rare but serious complication of endotracheal intubation. The morbidity and mortality are associated with early recognition and adequate management. Herein, we reported a case of perioperative management of neonatal tracheal injury following multiple attempts at endotracheal intubation caused by unanticipated difficulty.

Keyword

Complication; Endotracheal intubation; Neonate

MeSH Terms

Humans
Infant, Newborn*
Intubation, Intratracheal*
Mortality

Figure

• 

  Fig. 1 Chest PA shows resolved left-side pneumothorax after chest tube drainage (black arrow), pneumomediastineum (white arrows), and subcutaneous emphysema in both sides of the neck (gray arrows).

• 

  Fig. 2 Chest CT shows a displaced endotracheal tube to left anterolaterally.

• 

  Fig. 3 Chest CT shows pneumothorax (black arrow) and pneumo- mediastineum (white arrows).

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