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KMID : 1155520150100010032
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Anesthesia and Pain Medicine
2015 Volume.10 No. 1 p.32 ~ p.35
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Tracheal injury as a perforation of a newly formed tracheal diverticulum after tracheal intubation - A case report -
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Kang Yoo
Lee Yong-Kyung
Lee Hong-Sik
Chae Young-Keun
Lee Sang-Eun
Min Jin-Hye
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Abstract
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Although tracheal injury after tracheal intubation has been reported often, the formation of acquired tracheal diverticulum as the complications of intubation has not been reported before. In a 57-year-old woman, emergency coil embolization was performed for the treatment of a ruptured cerebral aneurysm. Then, the over-ballooning of an endotracheal tube cuff and deep intubation were observed on a chest X-ray. So, the tube was re-ballooned and re-positioned before surgery. Five hours after extubation in the intensive care unit at postoperative 5 days, a perforation of the tracheal diverticulum wall, leading to subcutaneous emphysema around her neck and pneumomediastinum, was diagnosed using CT and bronchoscopy. The cause of the tracheal diverticulum was suspected over-ballooning of the endotracheal tube cuff because the diverticulum site and size were the same as those of the over-ballooning cuff.
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KEYWORD
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Airway, Diverticulum, Intubation, Pneumomediastinum, Subcutaneous emphysema, Trachea
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