Talk:Tracheobronchial injury/GA1

GA Review

I am currently reviewing "Tracheobronchial injury" as a "Good Article Candidate". It's another fine article by delldot; it clearly has his writing style stamped all over it. ;-) Axl (talk) 17:26, 31 August 2008 (UTC)

From "Classification" section, paragraph 1: "Another way to classify tracheal lesions is to divide them into complete and incomplete lacerations." What is the difference between complete and incomplete? Clinical significance? Axl (talk) 17:55, 31 August 2008 (UTC)

I assume this means 'torn all the way around' and 'not torn all the way around', but I'm still looking for an explicit source on this. the emedicine article says "In 10% of affected patients, the tear is incomplete, with preservation of the peritracheal or peribronchial connective tissue sheath or sealing of the tear by fibrin." Would it be accurate to say something like "incomplete, in which some tissue at the site remains intact, and complete, in which the airway is transected"? I currently have "The laceration may completely transect the airway or it may go only part of the way around." Is this too 'duh'? Added a little about clinical significance. delldot talk 03:15, 1 September 2008 (UTC)

I think I've straightened this out a bit, I found another source explaining about the surrounding tissues remaining intact in incomplete lacs. delldot talk 04:57, 1 September 2008 (UTC)

Thanks, that's clearer. Axl (talk) 06:41, 1 September 2008 (UTC)

How about a "Prevention" section? Seat belts and air bags? Endotracheal tube design? [Reminds me of "Pulmonary contusion". :-) ] Axl (talk) 18:01, 31 August 2008 (UTC)

I'll work on this. It's probably doable, but as with PC, you see a lot of "how to prevent chest trauma" and not a whole lot of "how to prevent tracheobronchial injury". I'll work on it in my userspace till I have something presentable to add. delldot talk 03:15, 1 September 2008 (UTC)

From "Mechanism", paragraph 5: "When airways are damaged, air can escape from them and be trapped in the surrounding tissues; if it builds up to high enough pressures there, it can compress the airways." Is this pneumomediastinum? Subcutaneous emphysema? Pneumothorax? Axl (talk) 18:15, 31 August 2008 (UTC)

According to the source, PMID 12002920, "the airway can be compressed by the mediastinal and cervical emphysema caused by the TBI." Added 'in the neck and mediastinum' to the sentence (mediastinum is defined above it). Is this enough? delldot talk 03:15, 1 September 2008 (UTC)

Ah, so it's pneumomediastinum and subcutaneous emphysema. Axl (talk) 06:41, 1 September 2008 (UTC)

Not that it's especially important, but my preferred pronoun is 'her'. :P Thanks a ton for reviewing this Axl, I didn't even have to wait! It's good to have your knowledge and careful reviewing. delldot talk 03:15, 1 September 2008 (UTC)

My progress over the next few days might be slow, sorry! delldot talk 04:57, 1 September 2008 (UTC)

GA pass

This is an excellent article. It comprehensively describes the subject. It complies with WP:MEDMOS, although with the additional section "Anatomy". I particularly like the "Anatomy" section. It provides a succinct introduction for unfamiliar readers to the relevant features. The article is well-illustrated. The referencing is good.

Perhaps there is some room to expand the "Prevention" section, although I appreciate the difficulty in finding reliable sources. Axl (talk) 07:10, 2 September 2008 (UTC)

Thanks a ton Axl! Sorry for being a slacker with the Prevention section, I can keep working on that. Once again, your hard work in reviewing and improving the article yourself are much appreciated. delldot talk 22:44, 2 September 2008 (UTC)