{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T01:15:31Z","timestamp":1792718131057,"version":"4.5.0"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>Penetrating tracheal injuries in children are uncommon and present significant diagnostic and airway challenges. We report the case of a 3-year-old boy who sustained an accidental penetrating neck trauma and was taken up for tracheal repair. Initial radiological evaluation did not reveal any tracheal\/bronchial injury, but there was extensive pneumomediastinum. The child exhibited signs of airway compromise along with a deep penetrating injury on the anterior neck, extensive subcutaneous and musculofascial emphysema in the neck and anterior chest wall. Anesthetic management required careful induction, avoiding hemodynamic and airway compromise, smooth and atraumatic intubation, and positive pressure ventilation to localize the rent intraoperatively, via visible bubbling. Pneumothorax, wound infection, and mucus plugging prolonged the postoperative course. This report highlights the role of multidisciplinary coordination, tailored anesthetic strategies, and postoperative care in pediatric airway trauma.<\/jats:p>","DOI":"10.4103\/aca.aca_167_25","type":"journal-article","created":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T16:00:35Z","timestamp":1768579235000},"page":"128-131","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Anesthetic Management of Penetrating Tracheal Injury in a 3-Year-Old Child: A Case Report"],"prefix":"10.4103","volume":"29","author":[{"given":"Malik","family":"Indira","sequence":"first","affiliation":[{"name":"Department of Cardiac Anaesthesia, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahlawat","family":"Geeta","sequence":"additional","affiliation":[{"name":"Department of Cardiac Anaesthesia, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K. Teja Mallela","family":"Venkata","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Intensive Care, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dalai","family":"Manasmita","sequence":"additional","affiliation":[{"name":"Department of Cardiac Anaesthesia, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gupta","family":"Disha","sequence":"additional","affiliation":[{"name":"Department of Cardiac Anaesthesia, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chandra","family":"Prakash","sequence":"additional","affiliation":[{"name":"Department of Cardiac Anaesthesia, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,1,16]]},"reference":[{"key":"R1-20260331","doi-asserted-by":"crossref","first-page":"R1","DOI":"10.1007\/BF03018150","article-title":"Management of tracheal trauma","volume":"50","author":"Hurford","year":"2003","journal-title":"Can J Anesth"},{"key":"R2-20260331","first-page":"1426","article-title":"Pediatric tracheobronchial injuries: Clinical presentation and anesthetic considerations","volume":"129","author":"Galli","year":"2019","journal-title":"Anesth Analg"},{"key":"R3-20260331","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1016\/j.thorsurg.2007.03.005","article-title":"Traumatic injury to the trachea and bronchus","volume":"17","author":"Karmy-Jones","year":"2007","journal-title":"Thorac Surg Clin"},{"key":"R4-20260331","doi-asserted-by":"crossref","first-page":"123","DOI":"10.4103\/0971-9784.41582","article-title":"Anaesthetic management of a patient with complete tracheal rupture following blunt chest trauma","volume":"11","author":"Sengupta","year":"2008","journal-title":"Ann Card Anaesth"},{"key":"R5-20260331","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1016\/0030-4220(85)90306-8","article-title":"Diagnosis and primary management of laryngeal trauma","volume":"60","author":"Hartmann","year":"1985","journal-title":"Oral Surg Oral Med Oral Pathol"},{"key":"R6-20260331","doi-asserted-by":"crossref","first-page":"441","DOI":"10.1016\/1010-7940(89)90055-9","article-title":"Post traumatic disruption of the laryngo-tracheal junction","volume":"3","author":"Couraud","year":"1989","journal-title":"Eur J Cardiothorac Surg"},{"key":"R7-20260331","doi-asserted-by":"crossref","first-page":"1563","DOI":"10.1016\/S0003-4975(00)01077-8","article-title":"Acute injuries of the trachea and major bronchi: Importance of early diagnosis","volume":"69","author":"Cassada","year":"2000","journal-title":"Ann Thorac Surg"},{"key":"R8-20260331","doi-asserted-by":"crossref","first-page":"1339","DOI":"10.1093\/bja\/54.12.1339","article-title":"Anaesthetic management of acute laryngeal trauma","volume":"54","author":"Flood","year":"1982","journal-title":"Br J Anaesth"},{"key":"R9-20260331","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"},{"key":"R10-20260331","first-page":"278","article-title":"Airway management for tracheal surgery in children","volume":"24","author":"Eberlein","year":"2011","journal-title":"Curr Opin Anaesthesiol"}],"container-title":["Annals of Cardiac Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aca.aca_167_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:41:04Z","timestamp":1787067664000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aca.aca_167_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/aca.aca_167_25","relation":{},"ISSN":["0971-9784","0974-5181"],"issn-type":[{"value":"0971-9784","type":"print"},{"value":"0974-5181","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2025-06-18","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-11","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}