@article{JOVS16163,
author = {Alfonso Fiorelli and Roberto Cascone and Davide Di Natale and Matteo Pierdiluca and Rossella Mastromarino and Giovanni Natale and Emanuele De Ruberto and Gaetana Messina and Giovanni Vicidomini and Mario Santini},
title = {Endoscopic treatment with fibrin glue of post-intubation tracheal laceration},
journal = {Journal of Visualized Surgery},
volume = {3},
number = {8},
year = {2017},
keywords = {},
abstract = {Post-intubation tracheal laceration (PITL) is a rare and potential life-threatening condition requiring prompt diagnosis and treatment. A conservative treatment is indicated in patients with laceration 4 cm. For laceration between 2–4 cm, the best treatment is debate; some authors recommend surgery while others do not definitely exclude endoscopic treatment. Herein, we reported the endoscopic treatment with fibrin glue of PITL. The procedure is performed using a standard video-bronchoscopy in operating room; the patient is in spontaneous breathing and deep sedation. After identification of tracheal laceration, the fibrin glue is injected through a dedicated double lumen catheter into the lesion. After mixing both components of fibrin glue, polymerization of fibrin occurs resulting in an elastic and opaque clot that closes the lesion. The key success of the procedure is based on accurate patient selection. Patients are eligible if (I) they are clinically stable and in spontaneous respiration; (II) with a small and superficial tracheal laceration (≤4 cm in length and without oesophageal injury); (III) localized at level of the upper or middle trachea; and (IV) without clinical and/or radiological signs of mediastinal collection, of emphysema or pneumomediastinum progression, and of infection.},
issn = {2221-2965}, url = {https://jovs.amegroups.org/article/view/16163}
}