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Pretracheal abscess following two weeks of endotracheal intubation. 2011
Narayan Neupane, and
M Frances Schmidt, and
Neerja Gulati, and
Muhammad Perwaiz, and
Fadi Hammoudeh, and
Eneh Kennedy, and
Mehjabin Zahir, and
Danilo Enriquez, and
Joseph Quist
Department of Pulmonary Medicine, Interfaith Medical Center, Brooklyn, New York, USA. nneupane@interfaithmedical.com
Pretracheal abscess due to endotracheal intubation has not been reported in literature. We present a case of a female patient who was admitted with acute hypercapnic respiratory failure. Patient was initially managed with noninvasive ventilation but eventually was intubated after sustaining a cardiac arrest. She could not be extubated because of poor weaning parameters, so a tracheostomy was planned. During surgery, a pretracheal abscess was found with destruction of the second, third, and fourth tracheal rings and intact posterior tracheal wall. The possible risk factors, mechanism of injury, and preventive strategy of tracheal complication of intubation are discussed.
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