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Bronchial Tear
Aka: Bronchial Tear, Bronchial Laceration, Tracheal Laceration, Tracheal Tear
- Signs
- Hemoptysis
- Subcutaneous Emphysema
- Tension Pneumothorax
- Large, persistent air leak
- Imaging
- Chest XRay (may show irregular mediastinum)
- Chest CT
- Diagnostics
- Esophogram
- Bronchoscopy
- Arteriogram
- Associated Conditions
- Esophageal Injury
- Carotid Artery Injury
- Jugular Vein Injury
- Precautions
- Tracheobronchial injury is associated with very high mortality
- Typical injury occurs within 1 inch of the carina
- Surgical airway management is critical
- Management
- Anticipate difficult airway management
- Emergent surgical intervention