Thoracotomy for emergency repair of iatrogenic tracheal rupture: single center analysis of perioperative management and outcomes

• DOI: 10.1186/s12871-019-0869-5
• Publication Date: 2019-10-27T13:02:16Z
• Authors: Manuel F. Struck; Gunther Hempel; Uta C. Pietsch; Johannes Broschewitz; Uwe Eichfeld; Robert Werdehausen; Sebastian Krämer
• Keywords: Thoracotomy; Interquartile range

Iatrogenic tracheal ruptures are rare but life-threatening airway complications that often require surgical repair. Data on perioperative vital functions and anesthetic regimes scarce. The goal of this study was to explore comorbidity, management, outcomes patients undergoing thoracotomy for repair.We retrospectively evaluated adult who required right emergency repair iatrogenic posterior were admitted a university hospital over 15-year period (2004-2018). analyses included demographic, diagnostic, management outcome data preinjury morbidity complications.Thirty-five met the inclusion criteria analyzed. All two (96%) presented with critical underlying diseases and/or intubations. median time (interquartile range) from diagnosis surgery 0.3 (0.2-1.0) days. durations anesthesia, one-lung ventilation (OLV) 172 (128-261) min, 100 (68-162) 52 (40-99) respectively. primary approach OLV successful in only 12 (34%). Major during observed 10 (29%). Four (11%) cardiopulmonary resuscitation, one whom received extracorporeal membrane oxygenation, another these died surgery. associated significantly higher all-cause 30-day mortality (p = 0.002) adjusted 0.001) compared minor or no complications.Surgical requires advanced care specialized center due high potential complications. Airway should include early anticipation alternative approaches provide acceptable conditions