Tracheal lacerations after endotracheal intubation: a proposed morphological classification to guide non-surgical treatment.

Objective: Postintubation tracheobronchial lacerations (PITLs) are traditionally managed surgically. We sought to evaluate the rationale for non-surgical management of PITL.

Methods: From January 2003 to November 2008, 30 patients with PITL were observed in our institution.

[The ASL and hospitals: a model of emerging management].

The authors analysed the advantages and drawbacks of the legislative rules in the Italian medical services. They underline the impediments to the improvement in the quality and efficiency of both the organizing models and the control system of administration. The authors consider a new trend in the administration system taking place in the most innovative and dynamic units and they analyze the efficacy and speediness of diffusion of this new system.