{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T14:10:09Z","timestamp":1745763009908,"version":"3.40.4"},"reference-count":12,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2014,10,30]]},"abstract":"<jats:p>Blunt neck trauma can be caused by a variety of injuries such as deceleration, road traffic accidents and crush injuries. The worst scenario is airway rupture. We report an unusual case of acute tracheal injury in a 34-year-old Irish man who presented with a history of strangulation while working with a tractor. On arrival, he had one episode of mild haemoptysis and reported pain around the base of the neck and voice hoarseness. His chest X-ray revealed pneumopericardium and CT of thorax showed airway oedema. After elective intubation, positive end-expiratory pressure (PEEP) of 5\u2005cm\u2005H<jats:sub>2<\/jats:sub>O caused deterioration in his clinical condition with increasing surgical emphysema and rise of carbon dioxide partial pressure (PaCO<jats:sub>2<\/jats:sub>), which was completely reversed after stopping PEEP. This case shows how PEEP and intermittent positive pressure ventilation can worsen air leak and compromise stability in patients with acute tracheal injury.<\/jats:p>","DOI":"10.1136\/bcr-2014-206882","type":"journal-article","created":{"date-parts":[[2014,11,14]],"date-time":"2014-11-14T14:35:58Z","timestamp":1415975758000},"page":"bcr2014206882","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Unusual case of acute tracheal injury complicated by application of positive end expiratory pressure (PEEP)"],"prefix":"10.1136","volume":"2014","author":[{"given":"Asif Masroor","family":"Farooqui","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simon","family":"Mbarushimana","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammad","family":"Faheem","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2014,11,14]]},"reference":[{"key":"2025042706551386000_2014.nov14_1.bcr2014206882.1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(99)70443-5"},{"key":"2025042706551386000_2014.nov14_1.bcr2014206882.2","doi-asserted-by":"publisher","DOI":"10.1097\/01.TA.0000082650.62207.92"},{"key":"2025042706551386000_2014.nov14_1.bcr2014206882.3","doi-asserted-by":"publisher","DOI":"10.1213\/01.ANE.0000140780.14175.5A"},{"key":"2025042706551386000_2014.nov14_1.bcr2014206882.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcts.2006.09.009"},{"key":"2025042706551386000_2014.nov14_1.bcr2014206882.5","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200205000-00005"},{"key":"2025042706551386000_2014.nov14_1.bcr2014206882.6","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-6576.2006.01032.x"},{"key":"2025042706551386000_2014.nov14_1.bcr2014206882.7","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(10)65449-5"},{"key":"2025042706551386000_2014.nov14_1.bcr2014206882.8","doi-asserted-by":"publisher","DOI":"10.1097\/01.ta.0000196801.52594.b5"},{"key":"2025042706551386000_2014.nov14_1.bcr2014206882.9","first-page":"E85","article-title":"Conservative management of post-intubation tracheal tears\u2014report of three cases","volume":"6","author":"\u00d3v\u00e1ri","year":"2014","journal-title":"J Thorac Dis"},{"key":"2025042706551386000_2014.nov14_1.bcr2014206882.10","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.176.5.1761273"},{"key":"2025042706551386000_2014.nov14_1.bcr2014206882.11","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1016\/S0022-5223(19)42760-8","article-title":"Continuous positive-pressure breathing (CPPB) in adult respiratory distress syndrome","volume":"57","author":"Ashbaugh","year":"1969","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2025042706551386000_2014.nov14_1.bcr2014206882.12","doi-asserted-by":"crossref","first-page":"86S","DOI":"10.1378\/chest.62.5_Supplement.86S","article-title":"Positive end-expiratory pressure (PEEP): indications and physiologic considerations","volume":"62","author":"Sugerman","year":"1972","journal-title":"Chest"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2014-206882","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T13:55:17Z","timestamp":1745762117000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2014-206882"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,11,14]]},"references-count":12,"alternative-id":["10.1136\/bcr-2014-206882"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2014-206882","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2014,11,14]]}}}