Iatrogenic Tracheal Laceration Causing Asphyxia (CROSBI ID 192068)
Prilog u časopisu | stručni rad
Podaci o odgovornosti
Pažanin, Leo ; Bekavac Mišak, Vilka ; Goreta, Nedjeljka ; Mareković, Zvonimir ; Petrovečki, Vedrana
engleski
Iatrogenic Tracheal Laceration Causing Asphyxia
Endotracheal intubation is a simple, rapid, and safe technique that is being used as a standard procedure for airway management. However, airwaay injury during endotraceheal intubation could be a significant source of morbidity or even mortality for patients and a source of liability for physicians as well. We report an unusual case of fatal tracheal occlusion by intraluminal blood clot complicating endotracheal intubation. The patient, a 62-year-old woman, with renovascular hypertension and incipient renal failure was scheduled for renal autotransplantation. The surgery was uneventful but the postoperative course was complicated with a lethal airway obstruction. At autopsy a linear longitudinal tracheal laceration was identified with an intraluminal blood clot obstructing the tracheal lumen. Tracheal laceration as a cause of death is a rare and potentially fatal complication of endotracheal intubation with intratracheal bleeding, clot formation, tracheal occlusion, and subsequent asphyxia.
forensic science; asphyxia; tracheal occlusion; intratracheal intubation
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Podaci o izdanju
53 (5)
2008.
1185-1187
objavljeno
0022-1198
10.1111/j.1556-4029.2008.00827.x
Povezanost rada
Temeljne medicinske znanosti, Kliničke medicinske znanosti