{"title":"Traumatic bronchial injury management.","authors":"Venkata Mukunda, Anuj Mehta, Nirav Panchal","doi":"10.1007/s12055-024-01878-4","DOIUrl":null,"url":null,"abstract":"<p><p>Airway injuries or tracheobronchial injuries are defined as the injury to the larynx, trachea, carina, and main bronchi, and the bifurcation to lobar or secondary bronchi. These can be grossly divided into upper and lower airways. Trauma, both the penetrating variety as well as blunt forces, leads to disruption of these structures leading onto potentially fatal injuries. Tracheobronchial injuries need a high degree of suspicion for early diagnosis. Prompt resuscitation and early intubation with ICD insertion are a life-saving measure. Where required, early exploration and primary anastomosis with early weaning off ventilatory support offers the best chance of recovery, and where necessary a decision to pursue conservative management is also essential.</p>","PeriodicalId":13285,"journal":{"name":"Indian Journal of Thoracic and Cardiovascular Surgery","volume":"41 7","pages":"924-932"},"PeriodicalIF":0.7000,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12170486/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Indian Journal of Thoracic and Cardiovascular Surgery","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1007/s12055-024-01878-4","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/12/30 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}
引用次数: 0
Abstract
Airway injuries or tracheobronchial injuries are defined as the injury to the larynx, trachea, carina, and main bronchi, and the bifurcation to lobar or secondary bronchi. These can be grossly divided into upper and lower airways. Trauma, both the penetrating variety as well as blunt forces, leads to disruption of these structures leading onto potentially fatal injuries. Tracheobronchial injuries need a high degree of suspicion for early diagnosis. Prompt resuscitation and early intubation with ICD insertion are a life-saving measure. Where required, early exploration and primary anastomosis with early weaning off ventilatory support offers the best chance of recovery, and where necessary a decision to pursue conservative management is also essential.
期刊介绍:
The primary aim of the Indian Journal of Thoracic and Cardiovascular Surgery is education. The journal aims to dissipate current clinical practices and developments in the area of cardiovascular and thoracic surgery. This includes information on cardiovascular epidemiology, aetiopathogenesis, clinical manifestation etc. The journal accepts manuscripts from cardiovascular anaesthesia, cardiothoracic and vascular nursing and technology development and new/innovative products.The journal is the official publication of the Indian Association of Cardiovascular and Thoracic Surgeons which has a membership of over 1000 at present.DescriptionThe journal is the official organ of the Indian Association of Cardiovascular-Thoracic Surgeons. It was started in 1982 by Dr. Solomon Victor and ws being published twice a year up to 1996. From 2000 the editorial office moved to Delhi. From 2001 the journal was extended to quarterly and subsequently four issues annually have been printed out at time and regularly without fail. The journal receives manuscripts from members and non-members and cardiovascular surgeons. The manuscripts are peer reviewed by at least two or sometimes three or four reviewers who are on the panel. The manuscript process is now completely online. Funding the journal comes partially from the organization and from revenue generated by subscription and advertisement.