Approach to Patients with Neurotrauma and Thoracic Trauma and Anesthesia Management with Current Guidelines -1

Abstract

There are many causes of trauma such as traffic accidents, work accidents and falling from height. These patients require systematic management in post-traumatic evaluation, airway management, resuscitation, possible surgical procedures, intensive care follow-up and treatment. The nature of the trauma, post-traumatic uncontrolled bleeding, coagulation anomalies, hypothermia, shock and acidosis disrupts the normal homeostatic mechanism and is associated with poor clinical outcome. Other paradox in trauma patients is the necessity for emergency intervention with insufficient medical history information of the patient and unclear trauma type. In this review, it was aimed to discuss the general management and anesthesia management of patients with neurotrauma and thoracic trauma in the light of current guidelines.

Airway management in penetrating thoracic trauma

“…Dyspnoea and stridor at rest are observed if the tracheal lumen diameter falls below 25% [ 36 ]. Other early clinical findings include haemoptysis, localised pain, pneumothorax, subcutaneous emphysema, hoarseness, stridor, progressive dyspnoea, tachypnoea, and Hamman’s sign [ 37 ]. Hamman’s sign is a crackling noise synchronised with heartbeat and breathing, and air is seen in the mediastinal area.…”