Tracheal rupture, trauma
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Avoid PPV to avoid pneumomediastinum or pneumothorax. Spontaneous ventilation where possible. May need to accept risk of aspiration.

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Clear C-spine & examine injury with rigid bronchoscopy in
spont venting patient.

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Flexible bronchoscopy.
Guided ETT insertion (single lumen ETT into good lung). Awake or spontaneously ventilating. #improve

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If necessary, surgeon can insert ETT under direct vision after performing sternotomy on spontaneously ventilating patient.

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