Author:
Cardillo Giuseppe,Ricciardi Sara,Forcione Anna Rita,Carbone Luigi,Carleo Francesco,Di Martino Marco,Jaus Massimo O.,Perdichizzi Salvatore,Scarci Marco,Ricci Alberto,Dello Iacono Raffaele,Lucantoni Gabriele,Galluccio Giovanni
Abstract
BackgroundPost-intubation tracheal laceration (PITL) is a rare condition (0.005% of intubations). The treatment of choice has traditionally been surgical repair. Following our first report in 2010 of treatment protocol tailored to a risk-stratified morphological classification there is now clear evidence that conservative therapy represents the gold standard in the majority of patients. In this paper we aim to validate our risk-stratified treatment protocol through the largest ever reported series of patients.MethodsThis retrospective analysis is based on a prospectively collected series (2003–2020) of 62 patients with PITL, staged and treated according to our revised morphological classification.ResultsFifty-five patients with Level I (#8), II (#36) and IIIA (#11) PITL were successfully treated conservatively. Six patients with Level IIIB injury and 1 patient with Level IV underwent a surgical repair of the trachea. No mortality was reported. Bronchoscopy confirmed complete healing in all patients by day 30. Statistical analysis showed age only to be a risk factor for PITL severity.ConclusionsOur previously proposed risk-stratified morphological classification has been validated as the major tool for defining the type of treatment in PITL.
Cited by
3 articles.
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1. Tracheobronchiale Verletzungen;Zentralblatt für Chirurgie - Zeitschrift für Allgemeine, Viszeral-, Thorax- und Gefäßchirurgie;2023-10-26
2. Diagnostic and treatment model of post-intubation injuries of the trachea;Ukrainian Scientific Medical Youth Journal;2023-09-15
3. Post-intubation iatrogenic tracheobronchial injuries: The state of art;Frontiers in Surgery;2023-02-13