{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T17:25:47Z","timestamp":1787765147779,"version":"build-2784847793"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Tracheal rupture is a very rare but life-threatening complication of endotracheal intubation. It is more common in women and patients older than 50 years old. Overinflation of endotracheal tube cuff and tracheal wall weakening are the most important pathogenetic mechanisms. Laceration sites are located in the posterior membranous wall in most cases. Subcutaneous and mediastinal emphysema and respiratory distress are the most common manifestations. A 55-year-old female presented with postoperative subcutaneous and mediastinal emphysema without dyspnea because of a tear in the posterior tracheal wall. The diagnosis was based on clinical manifestation, chest computer tomography scans (CT), and endoscopic findings. A conservative approach by broad-spectrum antibiotic therapy was decided because of patients\u2019 vital signs stability and the absence of esophageal injury. The follow-up showed that there was no lesion in the posterior tracheal wall. Our case showed that in clinically stable patients without mediastinitis and with spontaneous breathing, conservative management of tracheal tears is a safe procedure.<\/jats:p>","DOI":"10.4103\/aca.aca_106_23","type":"journal-article","created":{"date-parts":[[2024,1,13]],"date-time":"2024-01-13T05:00:44Z","timestamp":1705122044000},"page":"85-88","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Conservative Management of Large Post-Intubation Tracheal Laceration"],"prefix":"10.4103","volume":"27","author":[{"given":"Athanasia","family":"Vlahou","sequence":"first","affiliation":[{"name":"Department of Cardiothoracic, G. Papanikolaou Hospital, Thessaloniki Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fotini","family":"Ampatzidou","sequence":"additional","affiliation":[{"name":"3ICU, G. Papanikolaou Hospital, Thessaloniki Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kalliopi","family":"Bismpa","sequence":"additional","affiliation":[{"name":"Department of Computed Tomography and Magnetic Resonance Imaging, G. Papanikolaou Hospital, Thessaloniki Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theodoros","family":"Karaiskos","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic, G. Papanikolaou Hospital, Thessaloniki Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,1,12]]},"reference":[{"key":"R1-20240901","doi-asserted-by":"crossref","first-page":"1056","DOI":"10.1016\/j.ejcts.2009.01.053","article-title":"Tracheal rupture after endotracheal intubation:A literature systematic review","volume":"35","author":"Mi\u00f1ambres","year":"2009","journal-title":"Eur J Cardiothorac Surg"},{"key":"R2-20240901","doi-asserted-by":"crossref","first-page":"2133.e1","DOI":"10.1016\/j.ajem.2018.08.027","article-title":"Tracheal rupture as a result of coughing","volume":"36","author":"Akkas","year":"2018","journal-title":"Am J Emerg Med"},{"key":"R3-20240901","doi-asserted-by":"crossref","first-page":"268","DOI":"10.1111\/iwj.12291","article-title":"Tracheal rupture related to endotracheal intubation after thyroid surgery:A case report and systematic review","volume":"13","author":"Xu","year":"2016","journal-title":"Int Wound J"},{"key":"R4-20240901","first-page":"268","article-title":"Tracheal Rupture","volume":"11","author":"Arti","year":"2024","journal-title":"Journal of Bronchology"},{"key":"R5-20240901","doi-asserted-by":"crossref","first-page":"277","DOI":"10.4097\/kjae.2012.62.3.277","article-title":"Tracheal rupture after endotracheal intubation-A report of three cases","volume":"62","author":"Lim","year":"2012","journal-title":"Korean J Anesthesiol"},{"key":"R6-20240901","doi-asserted-by":"crossref","first-page":"588","DOI":"10.1177\/0310057X0303100518","article-title":"Tracheal rupture following endotracheal intubation","volume":"31","author":"Stannard","year":"2003","journal-title":"Anaesth Intensive Care"},{"key":"R7-20240901","first-page":"E85","article-title":"Conservative management of post-intubation tracheal tears-report of three cases","volume":"6","author":"Ov\u00e1ri","year":"2014","journal-title":"J Thorac Dis"},{"key":"R8-20240901","doi-asserted-by":"crossref","first-page":"102","DOI":"10.21037\/jovs.2017.06.12","article-title":"Endoscopic treatment with fibrin glue of post-intubation tracheal laceration","volume":"3","author":"Fiorelli","year":"2017","journal-title":"J Vis Surg"},{"key":"R9-20240901","doi-asserted-by":"crossref","first-page":"581","DOI":"10.1016\/j.ejcts.2009.07.034","article-title":"Tracheal lacerations after endotracheal intubation:A proposed morphological classification to guide non-surgical treatment","volume":"37","author":"Cardillo","year":"2010","journal-title":"Eur J Cardiothorac Surg"}],"container-title":["Annals of Cardiac Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aca.aca_106_23","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T17:02:24Z","timestamp":1787763744000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aca.aca_106_23"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1]]},"references-count":9,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.4103\/aca.aca_106_23","relation":{},"ISSN":["0971-9784","0974-5181"],"issn-type":[{"value":"0971-9784","type":"print"},{"value":"0974-5181","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1]]},"assertion":[{"value":"2023-07-05","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-08-30","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}