TRACHEOBRONCHIAL INJURY Leave a Comment / Medical Surgical Nursing (MSN) / By nurseinfo.in TRACHEOBRONCHIAL INJURY – Etiology, Clinical Manifestations, Diagnostic Evaluations and Management Tracheobronchial injury (TBI) is damage to the tracheobronchial tree (the airway structure involving the trachea and bronchi). It can result from blunt or penetrating trauma to the neck or chest, inhalation of harmful fumes or smoke, or aspiration of liquids or objects. ETIOLOGY Falls from height Motor vehicle accidents Explosions are another cause Gunshot wounds Knife wounds Edema (swelling) CLINICAL MANIFESTATIONS Dyspnea Respiratory distress Coughing Hemoptysis Stridor (an abnormal, high-pitched breath sound indicating obstruction of the upper airway can also occur) Necrosis (death of the tissue) Scar formation Stenosis Due to inhalation of foreign body aspiration Medical procedure is uncommon DIAGNOSTIC EVALUATION Chest X-ray: is the initial imaging technique used to diagnose TBI. X-rays may also show accompanying injuries and signs, such as fractures, and subcutaneous emphysema. CT scanning detects resulting from blunt trauma. CT are a replacement of bronchoscopy PREVENTION Vehicle occupants who wear seatbelts have a lower incidence of TBI after a motor vehicle accident. TREATMENT Endotracheal tube: may be used to bypass a disruption in the airway Tracheotomy: an incision can be made in the trachea (tracheotomy) Mechanical ventilation: such as positive end-expiratory pressure (PEEP) and ventilation at higher-than-normal pressures may be helpful in maintaining adequate oxygenation. COMPLICATIONS Bronchial stenosis Pneumonia Bronchiectasis TRACHEOBRONCHIAL INJURY – Etiology, Clinical Manifestations, Diagnostic Evaluations and Management Post navigation ← Previous PostNext Post → Leave a Comment Cancel Reply Your email address will not be published. Required fields are marked *Type here..Name* E-mail* WebsiteSave my name, email, and website in this browser for the next time I comment.