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Tue Aug 8 07:23:31 BST 2006

There must have been some sort of lung / pleural / airway injury to get
the bubbling. What did  bronchoscopy show? And the oesophagoscopy? What
was the reason for the CT?

Cheers, Ian

>>> drnavingoyal at yahoo.co.in 7/08/2006 10:54pm >>>
30 yr. old male attende my trauma ward . He had trauma as a large glass
slab fell over his neck and chest . He had a wound in the neck just
above the clavicle which was bubbling and bleeding . There were
fractures in the ribd with bilateral decreased air entry on both side .
There was collection of Blood in the mouth . Patient was immediately
intubated . Bilateral Chest tubes were put and by the time the wound was
explored it had stopped bubbling , bleeding was located to vessel in the
muscle which was ligated and the wound closed .

  Later on CT of the neck and chest done which showed rent in the
posterolateral aspect of the trachea  above the carina. Surgical
emphysema  in the neck has not increased rather slightly decreased.
Patient is perfectly stable now he has been extubated . 

  Should we still do a surgical closure of the rent in the trachea??

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