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CRITICAL CARE AND TRAUMA

A Case of Tracheal Injury After Emergent Endotracheal Intubation: A Review of the Literature and Causalities

Elliott H. Chen, MD^*, Zhanna M. Logman, MD^*, Peter S. A. Glass, MB ChB (Wits), DA (SA), FFA (SA), and Thomas V. Bilfinger, MD ScD, FACS, FACC, FCCP^*

Departments of *Surgery and Anesthesiology, Stony Brook University Hospital, Stony Brook, New York

Address correspondence to Elliott H. Chen, MD, HSC 19-067, Stony Brook University Hospital Department of Surgery, Stony Brook, NY 11794-8191. Address e-mail to elliottchen{at}hotmail.com Address reprint requests to Thomas Bilfinger, MD, HSC 19-080, Stony Brook University Hospital Department of Surgery, Stony Brook, NY 11794-8191. A list of references containing all 56 case reports mentioned in the Discussion is available upon request.

IMPLICATIONS: Tracheal lacerations are rare, but potentially fatal, complications of intubations. Diagnosis of such conditions is difficult, and thus a high level of suspicion must be kept. We present a case and review the literature for factors that indicate high-risk patients.

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