A review of traumatic airway injuries: Potential implications for airway assessment and management

Kummer, Carmen; Netto, Fernando Spencer; Rizoli, Sandro; Yee, Doreen

doi:10.1016/j.injury.2006.09.002

Cited by 93 publications

(75 citation statements)

References 11 publications

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“…1 Following removal of the patient from the impalement suspension, cervical spine protection and controlled airway management are of the utmost importance. 3,8 Because of the nature and rarity of PNIs, there is no consensus on optimal airway management in these types of patients. 7,9 Penetrating neck injuries are among the most difficult airways cases to manage.…”

Section: Discussionmentioning

confidence: 99%

“…7,9 Penetrating neck injuries are among the most difficult airways cases to manage. 8,10 Studies describing airway management in PNIs have been performed in emergency departments or operating rooms where alternative airway technology and physician specialists are available. Penetrating injuries requiring prehospital intubation are associated with a twofold increase in mortality rates as compared with a patient whose airway placement can wait until arrival at the hospital.…”

Section: Discussionmentioning

confidence: 99%

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Field Airway Management of a Construction Worker with an Impaling Rebar Injury to the Neck and Brain

Nicolaisen

Ahmed

Hancock

et al. 2012

Prehospital Emergency Care

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This article discusses a case of airway management by air ambulance emergency medical services (EMS) providers in a 22-year-old man impaled through the neck into the brain with 0.5-inch rebar. Penetrating neck injuries (PNIs) with impalement are extraordinarily rare. It is important for EMS providers and emergency medicine physicians to have an understanding of the initial management of an impaled patient with PNI, including having an organized approach to establishing a definitive airway and recognizing the airway complications that PNI may cause. This article discusses out-of-hospital management of impaled patients.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Field Airway Management of a Construction Worker with an Impaling Rebar Injury to the Neck and Brain

Nicolaisen

Ahmed

Hancock

et al. 2012

Prehospital Emergency Care

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“…For main bronchial lacerations, selective intubation of the non-injured main bronchus is usually performed and injuries are repaired completely. A variety of different techniques to surgically manage these patients has been described (1)(2)(3)(4)(5)(6)(7)(8)(18)(19)(20)(21).…”

Section: Surgerymentioning

confidence: 99%

Evolutional trends in the management of tracheal and bronchial injuries

Madden

2017

J. Thorac. Dis.

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Tracheal and Bronchial injuries are potentially life threatening complications which require urgent diagnosis and therapeutic intervention. They typically occur in association with blunt and penetrating chest trauma although they are increasingly being encountered in patients following endobronchial intervention and percutaneous tracheostomy insertion. Their precise incidence is unknown. Presenting features include dyspnoea, stridor, respiratory and haemodynamic compromise, haemoptysis, surgical emphysema, pneumothorax and persistent significant airleak. There may be other additional injuries to consider in trauma patients with large airway injury. Familiarity with the diagnosis and management of large airway injuries is important for medical teams engaged in emergency medicine, thoracic surgery and medicine, anaesthesia and intensive care. Although early surgical intervention is the mainstay of treatment, endobronchial manoeuvres to seal defects are receiving increasing attention particularly for patients with medical co-morbidities which may contraindicate formal surgery or transfer or where local surgical expertise is not available.

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“…Bununla birlikte, temel önkoşullar; şüphe, yaralanma mekanizması, güvenli ve erken hava yolu temini üzerine kurulu olan erken tanıdır (37,38) .…”

Section: Cerrahi Hava Yoluunclassified

“…Hemen ölenlerde dahil olmak üzere göğüs ve boyun yaralanması olan travma hastalarında trakeabronşiyal yaralanma (TBY) görülme oranı %0,5-2 olarak bildirilmiştir (12) . Penetran boyun travmalarında servikal trakea yaralanması %3-6, penetran göğüs travması olan hastalarda hava yolu yaralanması (HY) %1-2'dir (13) . Ayrıca, boynun hiperekstansiyonu ile giden künt boyun travmalarında da trakeal yaralanma görülür.…”

Section: Introductionunclassified

Safely Airway Management in Larinks and Tracheobronchial Injuries

Demirgan¹,

Mingir²,

Kerem³

2017

Okmeydani Medical Journal

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ÖZ GİRİŞTravma, dünyadaki her 10 ölümün yaklaşık 1' ine neden olan önemli ve uluslararası bir sorundur(1) . Bü-yük ölçüde genç nüfusu etkiler. On beş-elli dokuz yaş grubunda, tüm ölümlerin %13-29' undan sorumludur. Travmada ölüm genellikle (%20-86) hastane öncesi ortamda meydana gelir (2) . Özellikle erken ve etkili güvenli hava yolu desteğinin, travmazedelerin yaşamda kalmasını artırabileceğine yönelik çok sayıda teorik ve niceliksel kanıt bulunmaktadır. Hastaneye varmış politravma hastalarının morbidite ve mortalitesi genellikle hava yolu yönetimindeki hatalar sonucu ortaya çıkar. Gruen ve ark.(3) hastaneye ulaştırıl-mış 2594 politravma hastasında mortaliteye katkıda bulunan hata modellerini saptamaya çalışmışlar, hava yolu güvenliğinin sağlanamaması veya korunamamasının mortaliteye ilişkin en yaygın faktör olduğunu bulmuşlardır.Günümüzde, fasiyal travmalar, trafik kazaları, endüstriyel kazalar, silah ve bıçak saldırıları, terör eylemleri ve savaş yaralanmaları nedeniyle oldukça yaygındır (4,5) . Fasiyal yaralanmalar, kafa travması ve hava yolu bütünlüğünde bozulma ile birlikte değilse genellikle yaşamı tehdit etmez. Bu tür hastalarda hava yolu güvenliği ile ilgili başlıca riskler; hastanın hava yolu anatomisinde bulunan kemiklerin parçalanması, yumuşak doku bütünlüğünün bozulması ve aspirasyon pnömonisi insidansının artmasıdır (6) . Travma yönetiminin ABC'lerinin acil serviste yapılmasını sağlamak için ciddi bir fasiyal travma ile uğraşırken multidisipliner yaklaşıma gereksinim duyulmaktadır. Amaç; hava yolu güvenliğinin sağlanması, hastanın solunumunun stabilize edilmesi, kanamanın kontrol edilmesi ve servikal vertebralarda herhangi bir hasar olmadığından emin olmaktır (7) .Supraklavikular bölgede yaralanması olan bir hastada görüntüleme ile aksi ispat edilene kadar servikal vertebra hasarı var olarak kabul edilir (8) . Bilinci yerinde olmayan veya nörolojik defisitli, anormal refleksleri Okmeydanı Tıp Dergisi 33(Ek sayı):

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A review of traumatic airway injuries: Potential implications for airway assessment and management

Cited by 93 publications

References 11 publications

Field Airway Management of a Construction Worker with an Impaling Rebar Injury to the Neck and Brain

Field Airway Management of a Construction Worker with an Impaling Rebar Injury to the Neck and Brain

Evolutional trends in the management of tracheal and bronchial injuries

Safely Airway Management in Larinks and Tracheobronchial Injuries

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