Tracheal transection after blunt trauma by motor vehicle accident: A diagnostic and survival challenge

Authors

  • AK Qumrul Huda Associate Professor(ICU), Department of Anesthesia, Analgesia and Intensive Care Medicine, BSMMU, Dhaka
  • Rezwanul Hoque Associate Professor, Department of Cardiothoracic Surgery, BSMMU, Dhaka
  • Wong Poo Sing Mount Elizabeth Medical Centre, Singapore

DOI:

https://doi.org/10.3329/bccj.v3i1.24102

Keywords:

Tracheal transection, Computed tomography (CT) of chest, Thoracotomy, Sepsis

Abstract

Tracheal transection is a rare injury after blunt trauma. Complete disruption of the trachea is rare, with a reported incidence of 1 in 4491 trauma admission. Blind oral or nasal intubation in patients with tracheal injury can lead to false extra passage. The presence of tracheal transection in the intubated ventilating patient is rarer and constitutes a major diagnostic and survival challenge. Here we present a case of tracheal transection caused by motor vehicle accident diagnosed few days later of the incidence by Computed tomography (CT) of chest, who went for thoracotomy and anastomosis of tracheal transection but developed anastomosis dehiscence. Repeated trial for anastomosis could not save the life of the patient because of development of severe sepsis, disseminated intravascular coagulation (DIC) and multi organ dysfunction syndrome (MODS). Early diagnosis by CT of chest and tracheal anastomotic surgery as early as possible (possibly within 24 hrs) before development of sepsis from mediastinitis is paramount for survival of patient.

Bangladesh Crit Care J March 2015; 3 (1): 31-32

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Author Biography

AK Qumrul Huda, Associate Professor(ICU), Department of Anesthesia, Analgesia and Intensive Care Medicine, BSMMU, Dhaka



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Published

2015-07-10

How to Cite

Huda, A. Q., Hoque, R., & Sing, W. P. (2015). Tracheal transection after blunt trauma by motor vehicle accident: A diagnostic and survival challenge. Bangladesh Critical Care Journal, 3(1), 31–32. https://doi.org/10.3329/bccj.v3i1.24102

Issue

Vol. 3 No. 1 (2015)

Section

Case Reports

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