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Post-traumatical Tracheomalacia with Tracheo-oesophageal Phistula – Less Frequent Complication of Blunt Neck Trauma: a Case Report


Authors: D. Řehořková;  P. Svoboda 1;  I. Kantorová 1;  R. Hájek;  H. Bosáková;  J. Vrastyák 2;  D. Chasáková 3
Authors‘ workplace: Anesteziologicko-resuscitační oddělení, Úrazová nemocnice, Brno, vedoucí prim. MUDr. D. Řehořková, CSc., 1 Interní oddělení, Úrazová nemocnice, Brno, vedoucí doc. MUDr. Petr Svoboda, CSc., 2 Chirurgická základna, Úrazová nemocnice, Brno, vedoucí prim. MUD
Published in: Anest. intenziv. Med., , 2001, č. 5, s. 260-262
Category:

Overview

A polytraumatized patient with blunt trauma to the upper torso and comminutive femur fracture developed ventilation problems on the seventh dayof hospitalization. Endoscopic examination revealed tracheomalacia with tracheo-oesophageal phistula. The paper summarizes the subsequenttreatment, stressing the importance of multidisciplinary approach and proper timing of surgical interventions. Intensive care appropriate to the severityof disease and actual condition should be focused on optimalization of hemodynamics and markers of nutrition and immunity.

Key words:
timing of operations – markers – inflammation

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Labels
Anaesthesiology, Resuscitation and Inten Intensive Care Medicine
Topics Journals
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