%0 Case Reports
%T Use of a modified tracheal tube in a child with traumatic bronchial rupture: A case report and review of literature.
%A Fan QM
%A Yang WG
%J World J Clin Cases
%V 9
%N 29
%D Oct 2021 16
%M 34734075
%F 1.534
%R 10.12998/wjcc.v9.i29.8915
%X <B>BACKGROUND: </B>Trauma is one of the leading causes of death in the pediatric population. Bronchial rupture is rare, but there are potentially severe complications. Establishing and maintaining a patent airway is the key issue in patients with bronchial rupture. Here we describe an innovative method for maintaining a patent airway.<BR><B>METHODS: </B>A 3-year-old boy fell from the seventh floor. Oxygenation worsened rapidly with pulse oxygen saturation decreasing below 60%, as his heart rate dropped. Persistent pneumothorax was observed with insertion of the chest tube. Fiberoptic bronchoscopy was performed, which confirmed the diagnosis of bronchial rupture. A modified tracheal tube was inserted under the guidance of a fiberoptic bronchoscope. Pulse oxygen saturation improved from 60% to 90%. Twelve days after admission, right upper lobectomy was performed using bronchial stump suture by video-assisted thoracic surgery without complications. A follow-up chest radiograph showed good recovery. The child was discharged from hospital three months after admission.<BR><B>CONCLUSIONS: </B>A modified tracheal tube could be selected to ensure a patent airway and adequate ventilation in patients with bronchial rupture.