Anaesthetic Management of Acute Laryngeal Trauma

Flood, L M; Astley, B.A.

doi:10.1097/00132586-198308000-00030

Cited by 2 publications

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“…Laryngeal injuries are major risk factors for difficult endotracheal intubation. In the case of laryngeal injuries, it is difficult to obtain profer laryngeal view due to epiglottis and displaced laryngeal inlet caused by hematoma, laryngeal edema, or fractures [4,5]. Therefore, it may be emergently needed cricothyroidotomy or tracheotomy.…”

Section: Discussionmentioning

confidence: 99%

Facilitation of endotracheal intubation using a bougie in a patient with unilateral vocal cord due to a traumatic thyroid cartilage fracture

et al. 2022

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Endotracheal intubation of patients with abnormal upper airway structures is rare. In these pa tients, endotracheal intubation may be difficult and sometimes emergent surgical airway security may be required, so a thorough airway evaluation, intubation plan, and implementation should be performed. We report a case of successful endotracheal intubation using bougie in the patient with unilateral vocal cord and narrow glottis who underwent thyroid cartilage fracture 10 years ago.

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Section: Discussionmentioning

confidence: 99%

Facilitation of endotracheal intubation using a bougie in a patient with unilateral vocal cord due to a traumatic thyroid cartilage fracture

et al. 2022

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“…A An ne es st th he et ti ic c c co on ns si id de er ra at ti io on ns s Induction of general anesthesia using a potent volatile agent and spontaneous ventilation is generally considered to be the safest technique to induce anesthesia in patients with possible airway injuries. 19 The use of iv agents such as propofol, however, may be necessary if the patient is confused or uncooperative. Once anesthetized, the airway may be secured by passing a rigid bronchoscope or an endotracheal tube into the distal airway and past the point of injury.…”

Section: DI Ia Ag Gn No Os Si Is S Physical Findingsmentioning

confidence: 99%

Management of tracheal trauma

Hurford

Peralta

2003

Can J Anesth/J Can Anesth

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I In nc ci id de en nc ce e Blunt injury to the lower airway is uncommon, due to anatomic protection by the mandible and sternum anteriorly, the spinal column posteriorly, and the mobility and the elasticity of the upper airway itself. The larynx or cervical trachea is injured in < 1% of patients admitted to the hospital for blunt trauma. 1 Over a ten-year period, Angood and co-workers reported that only 16 patients with laryngeal injury and four patients with cervical tracheal injury were treated at the Montreal General Hospital. 2 Of 46 patients with blunt upper airway injuries reported by Cicala and colleagues, 11 (24%) died and four (36%) of these deaths were primarily due to airway injury. 3 Other authors reported that 21% of patients with blunt airway injuries died in the first two hours after admission. 4 Penetrating airway injuries in the neck are also relatively uncommon. Capan and colleagues reviewed 17 reports published between 1965-1989 describing acute cervical airway injuries. 5 Approximately 300 patients were identified accounting for an average of less than three cases per year per reporting centre. Penetrating injuries of the neck involved the larynx in up to 5-15% of patients, with the patients who had carotid artery or digestive track injuries being at least twice as likely to have airway injuries. 6,7 About one-third of airway injuries involved the larynx and two-thirds involved the cervical trachea. 3 The sites of non-penetrating upper airway injuries vary among patients. In a review of a series of blunt injuries to the upper airway, Cicala and co-workers reported seven (35%) laryngeal injuries above the cricoid, three (15%) involving the cricoid cartilage, nine (45%) involving the cervical trachea, and one (5%) involving other sites. 3 Thyroid cartilage was the most commonly fractured site in blunt and penetrating laryngeal injuries (47%), followed by arytenoid cartilage (24%), and cricoid cartilage (22%). 8 The prevailing site of tracheal transection is the junction of the cricoid with the trachea, because the connective tissues in this area are relatively weak.

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Anaesthetic Management of Acute Laryngeal Trauma

Cited by 2 publications

References 0 publications

Facilitation of endotracheal intubation using a bougie in a patient with unilateral vocal cord due to a traumatic thyroid cartilage fracture

Facilitation of endotracheal intubation using a bougie in a patient with unilateral vocal cord due to a traumatic thyroid cartilage fracture

Management of tracheal trauma

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