Perioperative management of laryngotracheobronchial injury: our experience in a level 1 trauma centre
Purpose Laryngotracheobronchial injuries (LTBI) are serious injuries because of their consequences in terms of ventilation, coupled with the severity of other injuries associated with them. We share our experience in managing these patients perioperatively in our level 1 trauma centre. Methods A ret...
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| Veröffentlicht in: | European journal of trauma and emergency surgery (Munich : 2007) 2012-10, Vol.38 (5), p.553-561 |
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| container_title | European journal of trauma and emergency surgery (Munich : 2007) |
| container_volume | 38 |
| creator | Gupta, B. Sinha, C. Kumar, A. Dey, C. Ramchandani, S. Kumar, S. Sawhney, C. Misra, M. C. |
| description | Purpose
Laryngotracheobronchial injuries (LTBI) are serious injuries because of their consequences in terms of ventilation, coupled with the severity of other injuries associated with them. We share our experience in managing these patients perioperatively in our level 1 trauma centre.
Methods
A retrospective analysis of the records of 30 patients with LTBI who presented at Jai Prakash Narayan Apex Trauma Center (JPNATC) from December 2007 to February 2011 was done. The demographics, mechanism of injury, clinical presentation, diagnostic modalities, anaesthetic management and outcome in these patients were reviewed.
Results
Intrathoracic location of the injury and Injury Severity Score (ISS) had a direct correlation with the outcome of the patients. The overall mortality was 6.7 %.
Conclusion
Meticulous examination, details about the mechanism of injury, careful diagnostic evaluation, and skilful airway and surgical management are necessary for a better outcome in patients with airway injuries. A high degree of suspicion in occult injuries and liberal use of a fibreoptic bronchoscope aids diagnosis and management. Prompt airway management in the pre-hospital setting before transfer to a higher level trauma centre ensures better outcomes. |
| doi_str_mv | 10.1007/s00068-012-0199-5 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1761460531</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2813101011</sourcerecordid><originalsourceid>FETCH-LOGICAL-c448t-de887064eeb325861cb49d119d1de95f90771065c42a1f0d8529905e45a5ecec3</originalsourceid><addsrcrecordid>eNp1kUtLxTAQhYMovn-AGwm4cVPNtE3auBPxBYIudB1y0-m1lza5Jq3ov3fkqojgIiQk3zmZmcPYAYgTEKI6TUIIVWcCclpaZ3KNbUOtikzrEtZ_zkWxxXZSWhAslMw32VaualC5rLcZPmDswhKjHbtX5IP1do4D-pGHlvc2vvt5GKN1zxhmMXj33Nmed34xxfczHqbI8Y3EHXqHdM0t7_EVew6cRNNguSOriHtso7V9wv2vfZc9XV0-Xtxkd_fXtxfnd5kry3rMGqzrSqgScVZQdQrcrNQNAK0GtWy1qCqgFlyZW2hFU8tcayGxlFaiQ1fssuOV7zKGlwnTaIYuOex76zFMyUCloFRCFkDo0R90Qe14qs4ASBqvFEVBFKwoF0NKEVuzjN1AYzEgzGcGZpWBoQzMZwZGkubwy3maDdj8KL6HTkC-AhI9-TnGX1__6_oBJbeRnw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1151005033</pqid></control><display><type>article</type><title>Perioperative management of laryngotracheobronchial injury: our experience in a level 1 trauma centre</title><source>SpringerLink Journals - AutoHoldings</source><creator>Gupta, B. ; Sinha, C. ; Kumar, A. ; Dey, C. ; Ramchandani, S. ; Kumar, S. ; Sawhney, C. ; Misra, M. C.</creator><creatorcontrib>Gupta, B. ; Sinha, C. ; Kumar, A. ; Dey, C. ; Ramchandani, S. ; Kumar, S. ; Sawhney, C. ; Misra, M. C.</creatorcontrib><description>Purpose
Laryngotracheobronchial injuries (LTBI) are serious injuries because of their consequences in terms of ventilation, coupled with the severity of other injuries associated with them. We share our experience in managing these patients perioperatively in our level 1 trauma centre.
Methods
A retrospective analysis of the records of 30 patients with LTBI who presented at Jai Prakash Narayan Apex Trauma Center (JPNATC) from December 2007 to February 2011 was done. The demographics, mechanism of injury, clinical presentation, diagnostic modalities, anaesthetic management and outcome in these patients were reviewed.
Results
Intrathoracic location of the injury and Injury Severity Score (ISS) had a direct correlation with the outcome of the patients. The overall mortality was 6.7 %.
Conclusion
Meticulous examination, details about the mechanism of injury, careful diagnostic evaluation, and skilful airway and surgical management are necessary for a better outcome in patients with airway injuries. A high degree of suspicion in occult injuries and liberal use of a fibreoptic bronchoscope aids diagnosis and management. Prompt airway management in the pre-hospital setting before transfer to a higher level trauma centre ensures better outcomes.</description><identifier>ISSN: 1863-9933</identifier><identifier>EISSN: 1863-9941</identifier><identifier>DOI: 10.1007/s00068-012-0199-5</identifier><identifier>PMID: 26816258</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Airway management ; Critical Care Medicine ; Emergency Medicine ; Injuries ; Intensive ; Medicine ; Medicine & Public Health ; Neck ; Original Article ; Sports Medicine ; Surgery ; Surgical Orthopedics ; Trauma care ; Traumatic Surgery</subject><ispartof>European journal of trauma and emergency surgery (Munich : 2007), 2012-10, Vol.38 (5), p.553-561</ispartof><rights>Springer-Verlag 2012</rights><rights>Springer-Verlag Berlin Heidelberg 2012</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c448t-de887064eeb325861cb49d119d1de95f90771065c42a1f0d8529905e45a5ecec3</citedby><cites>FETCH-LOGICAL-c448t-de887064eeb325861cb49d119d1de95f90771065c42a1f0d8529905e45a5ecec3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00068-012-0199-5$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00068-012-0199-5$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,778,782,27911,27912,41475,42544,51306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26816258$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gupta, B.</creatorcontrib><creatorcontrib>Sinha, C.</creatorcontrib><creatorcontrib>Kumar, A.</creatorcontrib><creatorcontrib>Dey, C.</creatorcontrib><creatorcontrib>Ramchandani, S.</creatorcontrib><creatorcontrib>Kumar, S.</creatorcontrib><creatorcontrib>Sawhney, C.</creatorcontrib><creatorcontrib>Misra, M. C.</creatorcontrib><title>Perioperative management of laryngotracheobronchial injury: our experience in a level 1 trauma centre</title><title>European journal of trauma and emergency surgery (Munich : 2007)</title><addtitle>Eur J Trauma Emerg Surg</addtitle><addtitle>Eur J Trauma Emerg Surg</addtitle><description>Purpose
Laryngotracheobronchial injuries (LTBI) are serious injuries because of their consequences in terms of ventilation, coupled with the severity of other injuries associated with them. We share our experience in managing these patients perioperatively in our level 1 trauma centre.
Methods
A retrospective analysis of the records of 30 patients with LTBI who presented at Jai Prakash Narayan Apex Trauma Center (JPNATC) from December 2007 to February 2011 was done. The demographics, mechanism of injury, clinical presentation, diagnostic modalities, anaesthetic management and outcome in these patients were reviewed.
Results
Intrathoracic location of the injury and Injury Severity Score (ISS) had a direct correlation with the outcome of the patients. The overall mortality was 6.7 %.
Conclusion
Meticulous examination, details about the mechanism of injury, careful diagnostic evaluation, and skilful airway and surgical management are necessary for a better outcome in patients with airway injuries. A high degree of suspicion in occult injuries and liberal use of a fibreoptic bronchoscope aids diagnosis and management. Prompt airway management in the pre-hospital setting before transfer to a higher level trauma centre ensures better outcomes.</description><subject>Airway management</subject><subject>Critical Care Medicine</subject><subject>Emergency Medicine</subject><subject>Injuries</subject><subject>Intensive</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neck</subject><subject>Original Article</subject><subject>Sports Medicine</subject><subject>Surgery</subject><subject>Surgical Orthopedics</subject><subject>Trauma care</subject><subject>Traumatic Surgery</subject><issn>1863-9933</issn><issn>1863-9941</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp1kUtLxTAQhYMovn-AGwm4cVPNtE3auBPxBYIudB1y0-m1lza5Jq3ov3fkqojgIiQk3zmZmcPYAYgTEKI6TUIIVWcCclpaZ3KNbUOtikzrEtZ_zkWxxXZSWhAslMw32VaualC5rLcZPmDswhKjHbtX5IP1do4D-pGHlvc2vvt5GKN1zxhmMXj33Nmed34xxfczHqbI8Y3EHXqHdM0t7_EVew6cRNNguSOriHtso7V9wv2vfZc9XV0-Xtxkd_fXtxfnd5kry3rMGqzrSqgScVZQdQrcrNQNAK0GtWy1qCqgFlyZW2hFU8tcayGxlFaiQ1fssuOV7zKGlwnTaIYuOex76zFMyUCloFRCFkDo0R90Qe14qs4ASBqvFEVBFKwoF0NKEVuzjN1AYzEgzGcGZpWBoQzMZwZGkubwy3maDdj8KL6HTkC-AhI9-TnGX1__6_oBJbeRnw</recordid><startdate>20121001</startdate><enddate>20121001</enddate><creator>Gupta, B.</creator><creator>Sinha, C.</creator><creator>Kumar, A.</creator><creator>Dey, C.</creator><creator>Ramchandani, S.</creator><creator>Kumar, S.</creator><creator>Sawhney, C.</creator><creator>Misra, M. C.</creator><general>Springer-Verlag</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20121001</creationdate><title>Perioperative management of laryngotracheobronchial injury: our experience in a level 1 trauma centre</title><author>Gupta, B. ; Sinha, C. ; Kumar, A. ; Dey, C. ; Ramchandani, S. ; Kumar, S. ; Sawhney, C. ; Misra, M. C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c448t-de887064eeb325861cb49d119d1de95f90771065c42a1f0d8529905e45a5ecec3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Airway management</topic><topic>Critical Care Medicine</topic><topic>Emergency Medicine</topic><topic>Injuries</topic><topic>Intensive</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Neck</topic><topic>Original Article</topic><topic>Sports Medicine</topic><topic>Surgery</topic><topic>Surgical Orthopedics</topic><topic>Trauma care</topic><topic>Traumatic Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gupta, B.</creatorcontrib><creatorcontrib>Sinha, C.</creatorcontrib><creatorcontrib>Kumar, A.</creatorcontrib><creatorcontrib>Dey, C.</creatorcontrib><creatorcontrib>Ramchandani, S.</creatorcontrib><creatorcontrib>Kumar, S.</creatorcontrib><creatorcontrib>Sawhney, C.</creatorcontrib><creatorcontrib>Misra, M. C.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of trauma and emergency surgery (Munich : 2007)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gupta, B.</au><au>Sinha, C.</au><au>Kumar, A.</au><au>Dey, C.</au><au>Ramchandani, S.</au><au>Kumar, S.</au><au>Sawhney, C.</au><au>Misra, M. C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Perioperative management of laryngotracheobronchial injury: our experience in a level 1 trauma centre</atitle><jtitle>European journal of trauma and emergency surgery (Munich : 2007)</jtitle><stitle>Eur J Trauma Emerg Surg</stitle><addtitle>Eur J Trauma Emerg Surg</addtitle><date>2012-10-01</date><risdate>2012</risdate><volume>38</volume><issue>5</issue><spage>553</spage><epage>561</epage><pages>553-561</pages><issn>1863-9933</issn><eissn>1863-9941</eissn><abstract>Purpose
Laryngotracheobronchial injuries (LTBI) are serious injuries because of their consequences in terms of ventilation, coupled with the severity of other injuries associated with them. We share our experience in managing these patients perioperatively in our level 1 trauma centre.
Methods
A retrospective analysis of the records of 30 patients with LTBI who presented at Jai Prakash Narayan Apex Trauma Center (JPNATC) from December 2007 to February 2011 was done. The demographics, mechanism of injury, clinical presentation, diagnostic modalities, anaesthetic management and outcome in these patients were reviewed.
Results
Intrathoracic location of the injury and Injury Severity Score (ISS) had a direct correlation with the outcome of the patients. The overall mortality was 6.7 %.
Conclusion
Meticulous examination, details about the mechanism of injury, careful diagnostic evaluation, and skilful airway and surgical management are necessary for a better outcome in patients with airway injuries. A high degree of suspicion in occult injuries and liberal use of a fibreoptic bronchoscope aids diagnosis and management. Prompt airway management in the pre-hospital setting before transfer to a higher level trauma centre ensures better outcomes.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>26816258</pmid><doi>10.1007/s00068-012-0199-5</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 1863-9933 |
| ispartof | European journal of trauma and emergency surgery (Munich : 2007), 2012-10, Vol.38 (5), p.553-561 |
| issn | 1863-9933 1863-9941 |
| language | eng |
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| source | SpringerLink Journals - AutoHoldings |
| subjects | Airway management Critical Care Medicine Emergency Medicine Injuries Intensive Medicine Medicine & Public Health Neck Original Article Sports Medicine Surgery Surgical Orthopedics Trauma care Traumatic Surgery |
| title | Perioperative management of laryngotracheobronchial injury: our experience in a level 1 trauma centre |
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