Jung Hyun Min, Durey Areum, Han Seung Baik, Kim Ji Hye
Department of Emergency Medicine, Inha University, College of Medicine, Incheon, South Korea.
J Emerg Trauma Shock. 2019 Jan-Mar;12(1):58-60. doi: 10.4103/JETS.JETS_34_18.
Postintubation tracheal rupture is rare, but serious. Emergency intubation is often conducted during cardiopulmonary resuscitation (CPR), and the risk of postintubation tracheal rupture can be increased during CPR. We describe here a case of postintubation tracheal rupture in a 65-year-old female who was transferred from another hospital after CPR. Postintubation tracheal rupture in this case is thought to have been related to malposition of the endotracheal tube (ETT), elevation of the intratrachea pressure due to chest compression, and an overinflated cuff. However, the most important factor is considered to be the overinflated cuff, which is often caused by manual palpation. Therefore, emergency physicians should consider using a manometer to check the cuff pressure of the ETT, even during CPR. When spontaneous circulation is restored, the pressure of the cuff must be measured with a manometer.
气管插管后气管破裂虽罕见但后果严重。紧急插管常在心肺复苏（CPR）期间进行，且CPR过程中气管插管后气管破裂的风险可能增加。我们在此描述一例65岁女性气管插管后气管破裂的病例，该女性在接受CPR后从另一家医院转来。本例气管插管后气管破裂被认为与气管内插管（ETT）位置不当、胸外按压导致气管内压力升高以及套囊过度充气有关。然而，最重要的因素被认为是套囊过度充气，这常由手动触诊引起。因此，即使在CPR期间，急诊医生也应考虑使用压力计检查ETT的套囊压力。当自主循环恢复时，必须使用压力计测量套囊压力。
