{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T13:46:06Z","timestamp":1776951966265,"version":"3.51.4"},"reference-count":6,"publisher":"Oxford University Press (OUP)","issue":"7-8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,7,22]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n               <jats:p>We present the case of a tracheal injury that occurred during a Maze procedure performed via sternotomy that was not initially detected by ventilator air leak, but rather by the visual presence of gas bubbles escaping the trachea during chest irrigation. Careful investigation and machine check did reveal a subsequent air leak that would have otherwise been overlooked. Furthermore, the use of intraoperative bronchoscopy was essential in guiding and confirming surgical repair. This case underscores the need for ongoing vigilance and suggests the utility of chest irrigation with Valsalva maneuvers after procedures performed in the vicinity of the trachea to exclude injury.<\/jats:p>","DOI":"10.1093\/milmed\/usac017","type":"journal-article","created":{"date-parts":[[2022,3,14]],"date-time":"2022-03-14T06:51:45Z","timestamp":1647240705000},"page":"e2781-e2783","source":"Crossref","is-referenced-by-count":1,"title":["Intraoperative Management of Tracheal Cautery Injury in a Post-Bypass Cardiac Surgery Patient"],"prefix":"10.1093","volume":"188","author":[{"given":"Benjamin W","family":"Little","sequence":"first","affiliation":[{"name":"Department of Anesthesia, Walter Reed NMMC , Bethesda, MD 20889, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William M","family":"Fowler","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, Walter Reed NMMC , Bethesda, MD 20889, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steve","family":"Gibson","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, Walter Reed NMMC , Bethesda, MD 20889, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian","family":"Popa","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, Walter Reed NMMC , Bethesda, MD 20889, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7492-0000","authenticated-orcid":false,"given":"John A","family":"Hodgson","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, Walter Reed NMMC , Bethesda, MD 20889, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2022,3,12]]},"reference":[{"issue":"3","key":"2023072301091457600_R1","doi-asserted-by":"crossref","first-page":"595","DOI":"10.1016\/j.chest.2018.07.018","article-title":"Treatment of tracheobronchial injuries: a contemporary review","volume":"155","author":"Grewal","year":"2019","journal-title":"Chest"},{"issue":"5","key":"2023072301091457600_R2","doi-asserted-by":"crossref","first-page":"e60","DOI":"10.1053\/j.jvca.2013.03.038","article-title":"Anterior tracheal injury during sternotomy","volume":"27","author":"Raut","year":"2013","journal-title":"J Cardiothorac Vasc Anesth"},{"issue":"6","key":"2023072301091457600_R3","doi-asserted-by":"crossref","first-page":"1699","DOI":"10.1053\/j.jvca.2020.01.049","article-title":"Pneumomediastinum causing distortion on transesophageal echocardiography as a result of tracheal injury after sternotomy","volume":"34","author":"Sugawara","year":"2020","journal-title":"J Cardiothorac Vasc Anesth"},{"issue":"2","key":"2023072301091457600_R4","doi-asserted-by":"crossref","first-page":"171","DOI":"10.4103\/0971-9784.95090","article-title":"Tracheal injury causing massive air leak during mitral valve replacement surgery","volume":"15","author":"Choudhury","year":"2012","journal-title":"Ann Card Anaesth"},{"issue":"1","key":"2023072301091457600_R5","doi-asserted-by":"crossref","DOI":"10.1186\/s13256-018-1591-5","article-title":"Tracheal injury detected immediately after median sternotomy by inexperienced surgeons: two case reports","volume":"12","author":"Takeshita","year":"2018","journal-title":"J Med Case Rep"},{"issue":"6","key":"2023072301091457600_R6","doi-asserted-by":"crossref","first-page":"1582","DOI":"10.1053\/j.jvca.2019.11.027","article-title":"Tracheal injury complicating mitral valve repair","volume":"34","author":"Bandi","year":"2020","journal-title":"J Cardiothorac Vasc Anesth"}],"container-title":["Military Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/milmed\/article-pdf\/188\/7-8\/e2781\/50937340\/usac017.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/milmed\/article-pdf\/188\/7-8\/e2781\/50937340\/usac017.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,7,23]],"date-time":"2023-07-23T01:11:51Z","timestamp":1690074711000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/milmed\/article\/188\/7-8\/e2781\/6548014"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3,12]]},"references-count":6,"journal-issue":{"issue":"7-8","published-online":{"date-parts":[[2022,3,12]]},"published-print":{"date-parts":[[2023,7,22]]}},"URL":"https:\/\/doi.org\/10.1093\/milmed\/usac017","relation":{},"ISSN":["0026-4075","1930-613X"],"issn-type":[{"value":"0026-4075","type":"print"},{"value":"1930-613X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2023,7,1]]},"published":{"date-parts":[[2022,3,12]]}}}