Abstract
In patients with tracheal injuries, conservative treatment is an alternative approach when surgical treatment is difficult. However, the success rate of conservative treatment is low when a ventilator is used constantly because of underlying lung disease, and successful conservative treatment requires the maintenance of as much self-respiration as possible without a ventilator. Here, we report a case of lower tracheal injury in which both surgical and conservative treatments were difficult, but conservative treatment with extracorporeal membrane oxygenation was successful while maintaining self-respiration without a ventilator.
Highlights
Immediate surgical repair is the treatment of choice for tracheal injuries
Maintaining the intubation tube and ventilator care for conservative treatment was difficult because the injury was close to the Conclusion In tracheal injury patients requiring continuous respiratory treatment, the outcome of conservative treatment depends on the location and size of the rupture
If the rupture is in a relatively upper part of the airway, conservative treatment is possible because the respiratory tract can be maintained without additional damage to the rupture site by placing the cuff of the intubation tube below the site of rupture
Summary
Immediate surgical repair is the treatment of choice for tracheal injuries. most patients undergo emergency surgery while still unstable physiologically, which results in high mortality rates [1,2]. Conservative treatment is an alternative when surgery is difficult because of the critical condition of the patient or in stable patients when the symptoms are not exacerbated by the tracheal injury [3]. Many patients are dependent on ventilators because of underlying respiratory problems, making conservative treatment difficult.
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
