Iatrogenic Life Threatening Tracheal Tear in Pediatric Patient; A Challenging Case to Manage
Dekel Lait1, Eli Hershmann2, Dan Levy-Faber3, Anat Ilivitzki4 and Michal Barak1*
Affiliation
- 1Department of Anesthesiology, Rambam Health Care Campus and the Bruce Rappaport Faculty of Medicine, Technion
- 2Pediatric Intensive Care Unit, Rambam Health Care Campus and the Bruce Rappaport Faculty of Medicine, Technion
- 3Department of Thoracic Surgery, Carmel Medical Center, Haifa, Israel
- 4Pediatric Radiology Unit, Rambam Health Care Campus and the Bruce Rappaport Faculty of Medicine, Technion
Corresponding Author
Barak, M., Department of Anesthesiology, Rambam Health Care Campus, POB 9602, Haifa 31096, Israel; Tel: 972 4 854-2487/ E-mail: m_barak@rambam.health.gov.il
Citation
Barak, M., et al. Iatrogenic Life Threatening Tracheal Tear in Pediatric Patient; A Challenging Case to Manage. (2015) J Anesth Surg 2(1): 34-36.
Copy rights
© 2015 Barak, M. This is an Open access article distributed under the terms of Creative Commons Attribution 4.0 International License.
Keywords
Abstract
We present a case in which an 11 month old baby with Johanson–Blizzard Syndrome developed respiratory failure due to respiratory syncytial virus. The baby was intubated and re-intubated several times using different endotracheal tube sizes in an effort to improve ventilation. While in the pediatric intensive care unit, her condition deteriorated and a tear at the posterior wall of the trachea adjacent to the carina was diagnosed. An attempt to correct surgically the tear failed and the child recovered within several days without additional surgical intervention. We discuss the management of a tracheal tear in the pediatric population, particularly the conservative as opposed to the surgical approach.
