The Change of Standard Management of Post-Intubation Endotracheal Laceration Owing to Typical Wound Drainage after Mastectomy

Jarosław Szefel, Wiesław Janusz Kruszewski and Anna Madej-Mierzwa

Division of Propaedeutics of Oncology, Medical University of Gdansk, Gdansk, Poland
Department of Oncological Surgery, Gdynia Oncology Centre, Gdynia, Poland

^*Correspondance to: Anna Madej-Mierzwa 

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Abstract:

Post-intubation endotracheal laceration is very rare (1/20 000). Subcutaneous emphysema and pneumomediastinum constitute a dominating symptom of post-intubation endotracheal laceration. This complication can be treated conservatively but at times it requires an endoscopic intervention or surgical procedure. We concluded that routinely applied suction drainage of a site of organ removal allowed for a resignation from suggested bilateral 2-cm incisions of the skin and subcutaneous tissue under the clavicles in order to remove the air collected under the skin. The classification of postintubation endotracheal laceration suggested by Aghajanzadeh et al. as well as the algorithm of proceeding according to Cardillo et al. facilitate therapeutic decisions in such cases.

Keywords:

Breast procedures; Post-intubation endotracheal laceration; Pneumomediastinum; Subcutaneous emphysema

Cite the Article:

Szefel J, Kruszewski WJ, MadejMierzwa A. The Change of Standard Management of Post-Intubation Endotracheal Laceration Owing to Typical Wound Drainage after Mastectomy. Clin Oncol. 2018; 3: 1507.