Treatment of Tracheobronchial Injuries: A Contemporary Review.

Abstract:

:Tracheobronchial injury is a rare but a potentially high-impact event with significant morbidity and mortality. Common etiologies include blunt or penetrating trauma and iatrogenic injury that might occur during surgery, endotracheal intubation, or bronchoscopy. Early recognition of clinical signs and symptoms can help risk-stratify patients and guide management. In recent years, there has been a paradigm shift in the management of tracheal injury towards minimally invasive modalities, such as endobronchial stent placement. Although there are still some definitive indications for surgery, selected patients who meet traditional surgical criteria as well as those patients who were deemed to be poor surgical candidates can now be managed successfully using minimally invasive techniques. This paradigm shift from surgical to nonsurgical management is promising and should be considered prior to making final management decisions.

journal_name

Chest

journal_title

Chest

authors

Grewal HS,Dangayach NS,Ahmad U,Ghosh S,Gildea T,Mehta AC

doi

10.1016/j.chest.2018.07.018

subject

Has Abstract

pub_date

2019-03-01 00:00:00

pages

595-604

issue

3

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(18)31112-7

journal_volume

155

pub_type

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