Spontaneous Repetitive Tracheal Rupture
Journal Title: Türk Yoğun Bakım Dergisi - Year 2019, Vol 17, Issue 1
Abstract
Tracheal ruptures are one of the life-threatening situations in critical care unit and can be formed after trauma, intubation, tracheotomy, bronchoscopy or spontaneously. Significant risk factors for tracheal rupture include urgent intubation, use of stilet, high cuff pressure, recurrent intubation attempts, double lumen endotracheal tubes, very thick endotracheal tubes, female gender, short height, older age, tracheomalacia, tracheal stenosis, congenital tracheal abnormalities and chronic steroid therapy. Among these risk factors, corticosteroids can cause rupture by inhibiting collagen synthesis and reducing connective tissue stability. In this case report, a case with spontaneous recurrent tracheal rupture was defined and the underlying mechanisms and therapeutic approach to this complication that could be seen in patients using chronic steroids were discussed.
Authors and Affiliations
Mehmet Turan İnal, Dilek Memiş, Nermin Tunçbilek, Şeyda Tek, Ahmet Şenol Uyar, Hasan Budak, Fazlı Yanık
Keywords
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- EP ID EP550961
- DOI 10.4274/tybd.galenos.2017.92905
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