Difficult Endotracheal Intubation as a Result of Penetrating Cranio-Facial Injury by an Arrow

Joly, Luc‐Marie; Oswald, A.; M, Disdet; Raggueneau, J L

doi:10.1213/00000539-200201000-00045

Cited by 23 publications

(6 citation statements)

References 5 publications

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“…La gestion des plaies engendrées est différente, les délabrements étant souvent internes, les plaies externes étant limitées à un point d'entrée et de sortie minime. Dans presque tous les cas le corps de la flèche reste bloqué dans les tissus du patient avec ou sans extériorisation de sa tête (2)(3)(4)(5). La forme de la flèche rend parfois impossible son extraction simple (formes à ailettes déployable) (4).…”

Section: Discussionunclassified

Tentative de suicide avec une arbalète : à propos d’un cas

Dubernard

Dutheil²,

Legros

2020

Annales françaises d'Oto-rhino-laryngologie et de Pathologie Ce

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Section: Discussionunclassified

Tentative de suicide avec une arbalète : à propos d’un cas

Dubernard

Dutheil²,

Legros

2020

Annales françaises d'Oto-rhino-laryngologie et de Pathologie Ce

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“…It is not uncommon, that patients do not lose consciousness and can perform tasks following a crossbow trauma for a prolonged period. [4][5][6][7][8][9] Krukemeyer reported that the arrow's shaft can act as a plug, causing an incomplete tamponade and hindering further blood loss. 1) This clearly indicates the removal of the arrow in a specialized hospital setting, where bleeding can be better managed.…”

Section: Discussionmentioning

confidence: 99%

A Rare, Combined Cardiac and Hepatic Crossbow Injury

Weymann

Sebening

2014

ATCS

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A 32-year-old man presented to our hospital after a failed suicide attempt using a crossbow. The patient had shot himself in close range with a double-barreled crossbow, simultaneously two arrows, in the chest. In spite of his life-threatening injuries, the man survived. The lodged arrows helped to avoid tremendous loss of blood. After his arrival in the hospital, the surgical removal of the arrows proceeded under direct visualization with corresponding sutures on the heart and liver. The patient's postoperative course was uneventful.

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“…We chose to proceed with RSI in this case because of its benefit in reducing aspiration risk, its attenuation of increases in intraocular or intracranial pressure, and its lower likelihood of inadvertent movement of the clamp. 5,6 Other intubation techniques, such as a blind technique, sedation only, or an awake intubation, were believed to pose a greater risk of aspiration, clamp dislodgement, or decreased first intubation success. 4 Video-assisted techniques were not readily available at the time.…”

Section: Discussionmentioning

confidence: 99%

Penetrating craniofacial trauma from a vice clamp: case report and discussion

Kjelland

Thirsk

2011

CJEM

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Penetrating craniofacial trauma, although uncommon, has a high potential for death or serious morbidity from injury to vital neurovascular structures. An in situ facial foreign body, particularly if large, presents significant challenges beyond safe and timely removal. Airway management, stabilization of the object, management of increased intracranial pressure, and identification of injuries to local structures are all issues that may require addressing. We present a case of penetrating facial trauma from a vice clamp, with an in situ foreign body, that illustrates several of these challenges and provides a forum for their discussion. RÉ SUMÉLe traumatisme craniofacial pé né trant, bien qu'il soit rare, pré sente un potentiel é levé de dé cè s ou de morbidité grave en raison de l'atteinte aux structures neurovasculaires vitales. Un corps é tranger in situ au niveau du visage, en particulier s'il est gros, pré sente des dé fis importants hormis son retrait sû r et en temps opportun. La prise en charge des voies respiratoires, la stabilisation de l'objet, la gestion de la pression intracrâ nienne accrue et la dé termination de la pré sence de lé sions aux structures locales sont autant de questions qui devront ê tre ré solues. Nous pré sentons un cas de traumatisme pé né trant au visage causé par un serre-joint, avec un corps é tranger in situ, qui illustre plusieurs de ces dé fis et fournit un forum pour la discussion.

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Difficult Endotracheal Intubation as a Result of Penetrating Cranio-Facial Injury by an Arrow

Cited by 23 publications

References 5 publications

Tentative de suicide avec une arbalète : à propos d’un cas

Tentative de suicide avec une arbalète : à propos d’un cas

A Rare, Combined Cardiac and Hepatic Crossbow Injury

Penetrating craniofacial trauma from a vice clamp: case report and discussion

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