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British Journal of Anaesthesia, 2002, Vol. 88, No. 5 722-724
© 2002 The Board of Management and Trustees of the British Journal of Anaesthesia

Case Reports

Management of massive air leak following intubation injury in a very low birth weight infant

R. Méndez*,1, A. Pensado2, M. Tellado1, I. Somoza1, J. Liras3, E. Pais2 and D. Vela1

1Departments of Pediatric Surgery, 2Pediatric Anaesthesia and 3Neonatal Intensive Care, Children’s Hospital ‘Teresa Herrera’, Complexo Hospitalario ‘Juan Canalejo’ 15006, As Xubias 84, A Coruña, Spain*Corresponding author

Perforation of an infant’s trachea after orotracheal intubation for general anaesthesia is a rarely described serious complication. This article reports an unusual case of laceration of the trachea in an 8-week-old infant with a history of prolonged neonatal intubation needed to treat hyaline membrane disease. After diagnosis the tracheal injury was managed conservatively. Factors involved in the occurrence of the injury and its management are discussed.

Br J Anaesth 2002; 88: 722–3


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