The Airway Management of One Case of Closed Tracheal Rupture Caused by a Car Accident

Abstract

Difficulty of tracheal intubation is caused by many reasons and among them tracheal rupture is an infrequent factor. Tracheal rupture leads to higher mortality and poorer prognosis especial for closed tracheal rupture which is hard to early diagnose and is generally fatal. We described a case of a 34-year-old narcose man after a car accident that accepted twice unsuccessful tracheal intubation with visualized laryngoscope and was diagnosed tracheal rupture through tracheotomy. We reviewed some of the present literature about the diagnosis of tracheal rupture and anaesthesiologic treatment in order to better guide the clinical practices.