Difficult Airway Management in a Patient with Traumatic Asphyxia

Ibarra, Pedro; Capan, Levon M.; Wahlander, Staffan; Sutin, Kenneth M.

doi:10.1097/00000539-199707000-00039

Cited by 13 publications

(20 citation statements)

References 12 publications

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“…Injury to the heart and great vessels are rare. As in this case, traumatic asphyxia does not cause hydrostatic pulmonary edema because chest compression increases intravascular, interstitial, and alveolar pressures to the same degree; thus, the pressure gradient is unchanged [4]. The lower body is spared with the stigmata of increased venous pressure, possibly because the inferior vena cava is compressed and it prevents reversal of venous flow.…”

Section: Discussionmentioning

confidence: 68%

“…This child had only an imprint abrasion on back of the chest without causing any major injuries to chest wall or internal chest organs and it is due to pliable chest wall of children. In traumatic asphyxia internal injuries are usually minimal [4] [5].…”

Section: Discussionmentioning

confidence: 99%

“…Traumatic asphyxia is caused by crushing of chest and abdomen[4][5][6][7][8], but has also been associated with asthma, paroxysmal coughing, protracted vomiting, and jugular venous occlusion. In traumatic asphyxia severe compressive forces are applied directly to chest hindering respiration.…”

mentioning

confidence: 99%

“…A significant increase of venous pressure occurs only when the glottis is closed during chest compression. It is clinically characterized by cervico -facial cyanosis, oedema, subconjunctival hemorrhages, and petechiae on the upper chest and face[4][6][8] , 8 .It is due to reflux of blood from the right heart backward through the valveless superior vena cava and the great veins of the head and neck causing engorgement of capillaries. This will leads to Capillary atony, dilatation and stagnation.…”

mentioning

confidence: 99%

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A child death from unsupervised handling of modern technology

Rajapaksha

Wijerathna

2014

Medico-Legal J SL

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Parents or guardians should be cautious when allowing the children to handle modern technology. At the same time young children should be supervised thoroughly as their little experiments or mischievous behaviors could lead to fatal injuries. A 6 year old boy was found dead wedged upright between a remote controlled sliding gate and its post at his own house which was tightly pressed against his mid chest. The remote control device was found on the floor beside him. Post mortem examination revealed a compatible patterned abrasion on the back of the chest 40 cm above the heel which can be explained from the projection of the gate post. There were conjuctival petechiae, and marked congestion of the upper chest and face. Internal examination was negative except for the marked congestion. Cause of death was concluded as traumatic asphyxia. Traumatic asphyxia due to accidental entrapment in a remote controlled sliding gate is rare in forensic literature. This case highlights the importance of close supervision of children and incorporation of properly functioning safety mechanisms in devices with modern technology.

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Section: Discussionmentioning

confidence: 68%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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A child death from unsupervised handling of modern technology

Rajapaksha

Wijerathna

2014

Medico-Legal J SL

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“…Perthes syndrome · Traumatic asphyxia · Ollivier's syndrome · Blunt thoracic trauma · Retroorbital hemorrhage [3,5].…”

Section: Introductionmentioning

confidence: 99%

Das Perthes-Syndrom

Gösling¹,

Schmidt²,

Herzog

et al. 2001

Der Unfallchirurg

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Perthes syndrome or traumatic asphyxia is a condition characterised by subconjunctival hemorrhage, cervicofacial petechiae and cyanosis caused by severe compression of the chest. Diagnosis is made by history and clinical examination. Associated injuries such as intrathoracic or abdominal lesions can be life-threatening and must be strictly assessed. This report demonstrates an illustrative case of this rare injury.

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