Iatrogenic tracheal laceration causing asphyxia.
J Forensic Sci
; 53(5): 1185-7, 2008 Sep.
Article
en En
| MEDLINE
| ID: mdl-18643864
ABSTRACT
Endotracheal intubation is a simple, rapid, and safe technique that is being used as a standard procedure for airway management. However, airway injury during endotracheal intubation could be a significant source of morbidity or even mortality for patients and a source of liability for physicians as well. We report an unusual case of fatal tracheal occlusion by intraluminal blood clot complicating endotracheal intubation. The patient, a 62-year-old woman, with renovascular hypertension and incipient renal failure was scheduled for renal autotransplantation. The surgery was uneventful but the postoperative course was complicated with a lethal airway obstruction. At autopsy a linear longitudinal tracheal laceration was identified with an intraluminal blood clot obstructing the tracheal lumen. Tracheal laceration as a cause of death is a rare and potentially fatal complication of endotracheal intubation with intratracheal bleeding, clot formation, tracheal occlusion, and subsequent asphyxia.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Asfixia
/
Trombosis
/
Tráquea
/
Obstrucción de las Vías Aéreas
/
Enfermedad Iatrogénica
/
Intubación Intratraqueal
Tipo de estudio:
Etiology_studies
/
Prognostic_studies
Límite:
Female
/
Humans
/
Middle aged
Idioma:
En
Revista:
J Forensic Sci
Año:
2008
Tipo del documento:
Article
País de afiliación:
Croacia