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Dergiler / Türk Yoğun Bakım Dergisi / 2019 / Cilt: 17 - Sayı: 1

Spontaneous Repetitive Tracheal Rupture

Spontan Tekrarlayıcı Trakea Yırtılması

MEHMET TURAN İNAL
DİLEK MEMİŞ
NERMİN TUNÇBİLEK
Şeyda TEK
Ahmet Şenol UYAR
HASAN BUDAK
FAZLI YANIK
Sayfa
54–57
DOI
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

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.

📌 3 Maddede Bu Makale

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Amaç & Hipotez:Tracheal ruptures are one of the life-threatening situations in critical care unit and can be formed after trauma, intubation, tracheotomy, bronchoscopy or spontaneously.
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Temel Bulgular & Veri: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.
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Sonuç & Katkı: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.
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Alan Parametreleri

Özet

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.

Abstract

Trakea yırtılması, yoğun bakım ünitelerinde hayatı tehdit eden bir durum olup, travma, entübasyon, trakeotomi, bronkoskopi sonrası veya kendiliğinden oluşabilir. Acil entübasyon, stilet kullanımı, kaf basıncı yüksekliği, tekrarlayan entübasyon girişimleri, çift lümenli endotrakeal tüpler, çok kalın endotrakeal tüpler, kadın cinsiyet, kısa boy, ileri yaş, trakeomalazi, trakea stenozu, konjenital trakea anomalileri ve kronik steroid tedavisi trakea yırtılması için önemli risk faktörleridir. Bu risk faktörlerinden kortikosteroidler, kollajen sentezini inhibe ederek ve bağ doku stabilitesini azaltarak yırtılmaya neden olabilmektedir. Bu olgu sunumunda, kendiliğinden tekrarlayan trakea yırtılması olan bir olgu tanımlanmış ve kronik steroid kullanan hastalarda görülebilecek bu komplikasyonla ilgili altta yatan mekanizmalar ve terapötik yaklaşım tartışılmaya çalışılmıştır.

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Bu Makaleye Atıf Yap

İNAL, M. T., MEMİŞ, D., TUNÇBİLEK, N., TEK, Ş., UYAR, A. Ş., BUDAK, H., YANIK, F. (2019). Spontaneous Repetitive Tracheal Rupture. Türk Yoğun Bakım Dergisi, Cilt: 17 - Sayı: 1, 54–57. https://ajindex.com/articles/327716

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Kaynakça (17)

  1. Kumar S, Goel S, Bhalla AS. Spontaneous tracheal rupture in a case of interstitial lung disease (ILD): a cese report. J Clin Res 2015;9:1-2
  2. P a r a s ch i v M. I a t ro ge n i c tracheobronchial rupture. J Med Life 2014;15:343-8
  3. Farooqui AM, Mbarushimana S, Faheem M. Unusual case of acute tracheal injury complicated by application of positive end expiratory pressure (PEEP). BMJ Case Rep 2014:2014
  4. Gorosh LR, Ingaramo O, Nelson D, Vohra M, Ciccolo ML. Spontaneous tracheal rupture: a case report. J Emerg Med 2014;46:31-3
  5. Rousié C, Van Damme H, Radermecker MA, Reginster P, Tecqmenne C, Limet R. Spontaneous tracheal rupture: a case report. Acta Chir Belg 2004;104:204-8
  6. Tsunezuka Y, Sato H, Hiranuma C, Ishikawa N, Oda M, Watanabe G. Spontaneous tracheal rupture associated with acquired tracheobronchomalacia. Ann Thorac Cardiovasc Surg 2003;9:394-6
  7. Stevens MS, Mullis TC, Carron JD. Spontaneous tracheal rupture caused by vomiting. Am J Otolaryngol 2010;31:276-8
  8. Zettl R, Waydhas C, Biberthaler P, Lewan U, Riedl V, Duswald K, et al. Nonsurgical treatment of a severe tracheal rupture after endotracheal intubation. Crit Care Med 1999;27:661-3
  9. Rousié C, Van Damme H, Radermecker MA, Reginster P, Tecqmenne C, Limet R
  10. Spontaneous Tracheal Rupture: a Case Report. Acta Chir Belg 2004;104:204-8
  11. Liu J, Zhang M, Niu C, Luo Z, Dai J, Wang L, et al. Dexamethasone inhibits repair of human airway epithelial cells mediated by glucocorticoid induced leucine zipper. PLoS One 2013;8:e60705
  12. Buchman AL. Side effects of corticosteroid therapy. J Clin Gastroenterol 2001;33:289-94
  13. Schakman O, Gilson H, Thissen JP. Mechanisms of glucocorticoid-induced myopathy. J Endocrinol 2008;197:1-10
  14. Borasio P, Ardissone F, Chiampo G. Postintubation tracheal rupture. A report on ten cases. Eur J Cardiothorac Surg 1997;12:98-100
  15. Wagner A, Roeggla M, Hirschl MM, Roeggla G, Schreiber W, Sterz F. Tracheal rupture after emergency intubation during cardiopulmonary resuscitation. Resuscitation 1995;30:263-6
  16. Gries CJ, Pierson DJ. Tracheal rupture resulting in life-threating subcutaneous emphysema. Respir Care 2007;52:191-5
  17. Gabor S, Renner H, Pinter H, Sankin O, Maier A, Tomaselli F, et al. Indications for surgery in tracheobronchial ruptures. Eur J Cardiothorac Surg 2001;20:399-404.