{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T18:49:36Z","timestamp":1782154176149,"version":"3.54.5"},"reference-count":12,"publisher":"BMJ","issue":"6","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2023,5,29]]},"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:p>A girl was brought into the emergency room after a non-penetrating cervical trauma. On physical examination, a rapidly progressing chest subcutaneous emphysema was denoted. The child was immediately intubated and mechanical ventilation was initiated. The CT-scan revealed a rupture to the posterior wall of the trachea and a pneumomediastinum. The child was transferred to the paediatric intensive care unit. A conservative approach was chosen, including tracheal intubation as a bypass through the tracheal injury, sedation to reduce the risk of further tracheal trauma and prophylactic antibiotic therapy. Twelve days after the incident, a bronchoscopy demonstrated the integrity of tracheal mucous and the child was successfully extubated. Three months after hospital discharge she was asymptomatic. In this clinical case, the conservative approach presented a successful outcome, avoiding the risks associated with surgery.<\/jats:p>","DOI":"10.1136\/bcr-2022-254494","type":"journal-article","created":{"date-parts":[[2023,6,12]],"date-time":"2023-06-12T11:00:37Z","timestamp":1686567637000},"page":"e254494","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Conservative approach of a paediatric tracheal rupture"],"prefix":"10.1136","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3772-1509","authenticated-orcid":false,"given":"Catarina Marques","family":"Duarte","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Centro Hospitalar Universit\u00e1rio Lisboa Norte EPE, Lisbon, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabete","family":"Vieira","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Service, Department of Pediatrics, Centro Hospitalar Universitario Lisboa Norte EPE, Lisboa, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sofia","family":"Almeida","sequence":"additional","affiliation":[{"name":"Pediatric Intensive Care Unit; 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