Cricothyroidotomy on the scene in a patient with severe facial trauma and difficult neck anatomy
We present a case of a patient with severe facial trauma who was treated at the scene by a physician-staffed trauma life support team. Because of massive oropharyngeal bleeding in addition to a difficult neck anatomy in a very obese patient, a cannot-intubate, cannot-ventilate situation occurred. Co...
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| Veröffentlicht in: | The American journal of emergency medicine 2009, Vol.27 (1), p.133.e1-133.e4 |
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| container_end_page | 133.e4 |
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| container_issue | 1 |
| container_start_page | 133.e1 |
| container_title | The American journal of emergency medicine |
| container_volume | 27 |
| creator | Archan, Sylvia, MD Gumpert, Rainer, MD Kügler, Bernhard, MD Seibert, Franz Josef, MD Prause, Gerhard, MD |
| description | We present a case of a patient with severe facial trauma who was treated at the scene by a physician-staffed trauma life support team. Because of massive oropharyngeal bleeding in addition to a difficult neck anatomy in a very obese patient, a cannot-intubate, cannot-ventilate situation occurred. Control of the airway could finally be achieved by surgical cricothyroidotomy. The current literature concerning emergency cricothyroidotomy is discussed. |
| doi_str_mv | 10.1016/j.ajem.2008.05.005 |
| format | Article |
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Because of massive oropharyngeal bleeding in addition to a difficult neck anatomy in a very obese patient, a cannot-intubate, cannot-ventilate situation occurred. Control of the airway could finally be achieved by surgical cricothyroidotomy. 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| ispartof | The American journal of emergency medicine, 2009, Vol.27 (1), p.133.e1-133.e4 |
| issn | 0735-6757 1532-8171 |
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| source | MEDLINE; Elsevier ScienceDirect Journals; ProQuest Central UK/Ireland |
| subjects | Accidents, Traffic Airway management Anatomy Bicycling Cadavers Coma Cricoid Cartilage - surgery Emergency Emergency medical care Face Fractures Humans Intubation Intubation, Intratracheal - methods Male Middle Aged Neck Neck - surgery Suctioning Thyroid Cartilage - surgery Tracheotomy - methods Trauma Ventilators Wounds and Injuries - therapy |
| title | Cricothyroidotomy on the scene in a patient with severe facial trauma and difficult neck anatomy |
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