We present a case of neonatal tracheal injury following delivery at term that presented with subcutaneous emphysema and pneumomediastinum before any attempt at intubation. The clinical course, treatment, and outcome are described. [ncbi.nlm.nih.gov]

• Soft Tissue Swelling

  Soft tissue swelling with crepitus was felt in the left supraclavicular area indicative of subcutaneous emphysema. Initial oxygen saturation was 87% on room air that improved to 100% within a few minutes. [nature.com]

• Cough

  We guessed that the over-inflation of the cuff made the tracheal wall weak, and sudden movement of the tube during the vigorous coughing caused the tracheal injury. [anesthpain.com]

  […] causes Motor vehicle accident: extended neck impacts on steering wheel or dashboard "Clothes line injury", assaults/strangulation Penetrating trauma (usually stabbings or gunshot wounds) Clinical Features Respiratory distress Hoarseness, dysphonia, cough [wikem.org]

  Other possible symptoms include pain and coughing up blood. Treatment will consist of surgical repair of the trachea. After surgery, you may require a breathing tube while the trachea heals to ensure swelling does not constrict the airway. [pagelaw.com]

  Antitussive medication should be administered to avoid severe cough that would induce a rise in airway pressure. [sjtrem.biomedcentral.com]

• Stridor

  Motor vehicle accident: extended neck impacts on steering wheel or dashboard "Clothes line injury", assaults/strangulation Penetrating trauma (usually stabbings or gunshot wounds) Clinical Features Respiratory distress Hoarseness, dysphonia, cough, stridor [wikem.org]

  Mild inspiratory stridor had been noted at home when she cried, and she had a slight hoarse cry. No baseline stridor was noted during the office examination. [nature.com]

  In mild croup, your child may have stridor only when crying or coughing. [aboutkidshealth.ca]

  Usually the object provokes an immediate coughing fit with or without cyanosis, accompanied by dyspnea, stridor, and pain.” ( ... ) - whoop The loud sonorous inspiration in pertussis with which the paroxysm of coughing terminates, due to spasm of the [proz.com]

• Contusion

  Bronchoscopy revealed deformation of the cartilage crescent in the cervical trachea (suggestive of cartilage contusion) and a longitudinal tear in the membranous region. [ncbi.nlm.nih.gov]

  […] dysphonia, cough, stridor, dysphagia Subcutaneous emphysema Cervical ecchymosis Hemoptysis Tracheal deviation or abnormal laryngeal contour Differential Diagnosis Thoracic Trauma Airway/Pulmonary Bronchial injury Diaphragm injury Hemothorax Pulmonary contusion [wikem.org]

  Related posts: Cardiac Contusion—Myocardial Contusion A cardiac contusion is a complication of an injury such as are often sustained in a car accident. A myocardial contusion, also known as a cardiac cont... [noonanlawma.com]

  Patients complicated with pulmonary contusion should be kept intubation with the support of ventilation. [jtd.amegroups.com]

  He sustained a head injury and was taken to hospital where he was found to have a fracture of the right temporal region and severe contusions throughout the brain. [fieldfisher.com]

Clinical Testing and Workup A diagnosis of subglottic stenosis may be suspected based on the results of pulmonary function tests. [rarediseases.org]

In patients with tracheal injuries, conservative treatment is an alternative approach when surgical treatment is difficult. [ncbi.nlm.nih.gov]

Prognosis and Long-Term Outlook Mortality from associated injuries in a penetrating injury to the neck can be as high as 50%; this is due to the close proximity of major blood vessels to the trachea. [pagelaw.com]

While mortality decreased from 36% before 1950 to 9% in 2001, prognosis greatly depends on early detection, the presence of concomitant injuries, and the cause of the injury.[8][3] Blunt tracheal injuries were associated with a better prognosis than [ncbi.nlm.nih.gov]

However, the prevalence of several risk factors for tinea cruris, such as obesity and diabetes mellitus, is rapidly increasing among adolescents. [4] Prognosis The prognosis of tinea cruris is excellent with appropriate diagnosis and treatment; however [emedicine.medscape.com]

We identified clinical manifestations and treatments of complications associated with endotracheal tubes and codified them into International Classification of Disease-ninth revision diagnosis and procedure codes, intentionally excluding alternative etiologies [ncbi.nlm.nih.gov]

The etiologic agents in tinea cruris produce keratinases, which allow invasion of the cornified cell layer of the epidermis. The host immune response may prevent deeper invasion. [emedicine.medscape.com]

Classification From etiology the tracheobronchial injury can be classified as traumatic and iatrogenic sources, in which the traumatic etiology includes crush injury, firearm injury and sharp instrument injury, which can be combined with the injury of [jtd.amegroups.com]

Rural-Based Tertiary Health Care Center. 61 Pariath K...Nair PA 31543529 2019 5 Prevalence and clinical characteristics of itch in epidemic-like scenario of dermatophytoses in India: a cross-sectional study. 61 Verma S...Szepietowski JC 31419346 2019 6 Epidemiology [malacards.org]

Airway trauma: a review on epidemiology, mechanisms of injury, diagnosis and treatment. J Cardiothorac Surg. 2014 Jun 30;9:117. [PMC free article: PMC4104740] [PubMed: 24980209] 9. Chu CP, Chen PP. [ncbi.nlm.nih.gov]

Epidemiology Frequency United States Dermatophytosis accounts for approximately 10-20% of all visits to dermatologists. [1] International Tinea cruris has a worldwide distribution but is found more commonly in hot humid climates. [2, 3] Sex Tinea cruris [emedicine.medscape.com]

Airway trauma: a review on epidemiology, mechanisms of injury, diagnosis and treatment. J Cardiothorac Surg 9, 117 (2014). [cardiothoracicsurgery.biomedcentral.com]

Pathophysiology The most common etiologic agents for tinea cruris include Trichophyton rubrum and Epidermophyton floccosum; less commonly Trichophyton mentagrophytes and Trichophyton verrucosum are involved. [emedicine.medscape.com]

Chhabra A, Rudingwa P, Selvam PSR, (2013) Pathophysiology and management of Airway Trauma. Trends in Anaesthesia and Critical Care 3: 216. Hurford WE, Peralta R (2003) Management of tracheal trauma. pp: 17-R22. [omicsonline.org]

Mortality is relatively high in patients with acute trauma to the trachea with a reported 15% to 40% range depending on mechanism and classification.[4] Pathophysiology Tracheal disruption may involve tracheal cartilages (most commonly from direct, blunt [ncbi.nlm.nih.gov]

In two patients, tracheal stenosis prevented extubation and required further surgery; in these patients breathing and swallowing functions had recovered at 6 months. [sjtrem.biomedcentral.com]

The described surgical approaches are transcervical, transthoracic or median sternotomy. [18 ] The potential benefits of surgery are: 1) closure of the defect to facilitate effective ventilation, 2) prevent mediastinitis due to contamination from non [tropicalgastro.com]

It is better to avoid the positive pressure ventilation to prevent further expansion of tear as far as possible. [jtd.amegroups.com]

الصفحة 348 - Hospital-acquired pneumonia in adults: diagnosis, assessment of severity, initial antimicrobial therapy, and preventive strategies. ‏ الصفحة 361 - Pepe PE, et al. [books.google.com]

Although these concerns are appropriate, each of the 13 conservatively managed patients whose cases we reviewed was paralyzed or deeply sedated to prevent extubation and further tracheal injury. [jamanetwork.com]