1. Management of Low Tracheal Rupture in Patients Requiring Mechanical Ventilation for Acute Respiratory Distress Syndrome
- Author
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Marc Olivier Robert, Jean Paul Viale, M. Schoeffler, Santayou Workineh, Florent Wallet, and Serge Duperret
- Subjects
Adult ,Male ,medicine.medical_specialty ,Tracheal rupture ,medicine.medical_treatment ,Lesion ,Intubation, Intratracheal ,medicine ,Humans ,Intubation ,Aged ,Rupture ,Mechanical ventilation ,Respiratory Distress Syndrome ,Bronchus ,Respiratory distress ,business.industry ,Respiratory disease ,Disease Management ,Middle Aged ,medicine.disease ,Respiration, Artificial ,Surgery ,Trachea ,Anesthesiology and Pain Medicine ,medicine.anatomical_structure ,Anesthesia ,Breathing ,Female ,Blood Gas Analysis ,medicine.symptom ,business - Abstract
conservative treatment should beconsidered in spontaneously breathing patients, to allowthe injury to heal. For those requiring mechanical venti-lation, this healing is hindered by the presence of thecuff resting on the injury and/or by the positive airwaypressure. To circumvent these difficulties, it has beenrecently proposed to bypass the lesion using a selectivebilateral mainstem bronchus intubation with small endo-tracheal tubes passed through a large tracheostomy.
- Published
- 2008