The use of surgical sealant to repair intubation-related tracheal injury

IF 0.8 Q3 ANESTHESIOLOGY Anaesthesia reports Pub Date : 2024-10-02 DOI:10.1002/anr3.12327
C. Cox, A. Crerar-Gilbert, B. Madden
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Abstract

This case study describes the management of a tracheal injury following emergency intubation in a 56-year-old man. After collapsing from heavy alcohol ingestion, intubation was performed using a bougie, leading to a punctate tracheal wound. Initial conservative treatment with antibiotics was followed by bronchoscopy, revealing a tracheal laceration. Rigid bronchoscopy was then performed, and the wound was closed using BioGlue® surgical sealant. The patient made a full recovery, with follow-up bronchoscopy confirming complete healing. This case highlights the effectiveness of BioGlue® as a minimally invasive alternative for tracheal wound closure, reducing the need for more complex interventions.

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使用手术密封剂修复与插管相关的气管损伤。
本病例研究描述了一名 56 岁男子在紧急插管后气管损伤的处理过程。患者因大量饮酒而昏倒,插管时使用了气管插管器,导致气管伤口穿刺。最初使用抗生素进行保守治疗,随后进行支气管镜检查,发现气管裂伤。随后进行了硬质支气管镜检查,并使用 BioGlue® 手术密封胶封闭了伤口。患者完全康复,后续支气管镜检查证实伤口完全愈合。这个病例突出了 BioGlue® 作为气管伤口闭合微创替代方法的有效性,减少了对更复杂干预的需求。
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