Management of Penetrating Pneumatic Nailgun Injuries of the Knee

Levy, Andrew; Lefkoe, Todd P.; Whitelaw, George P.; Kohler, Steve

doi:10.1097/00005131-199103000-00012

Cited by 12 publications

(14 citation statements)

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“…Our mean intubation time of 12 days, is similar to that of Scales and Niall, (2010), who recorded a median of 9 to 12 days (21). Proponents for early tracheostomy for prolonged intubation argue that patients might develop complications from longstanding mechanical effects of the endotracheal tube such as laryngeal ulceration, erythema, granuloma formation or vocal cord paralysis to some extent and recommend early tracheostomy as it may reduce endotracheal tube associated complications and the stay in ICU (3,14,22,23 airway obstruction that required a tracheostomy among patients in 2 studies in Nigeria (5,6). Like any surgery, bleeding although rare, is a known complication in tracheostomy (24).…”

Section: Discussionmentioning

confidence: 99%

Indications and immediate outcomes of tracheostomy in Rwanda

Charles¹,

Mukara²

2018

Ann Afr Surg.

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Introduction: Tracheostomy is performed as an alternative to the natural breathing airways for upper airway obstruction, pulmonary toilet or for protecting the larynx. It is a common procedure in surgical departments. Objectives: The study aimed at evaluating the immediate outcomes of tracheostomy and the incidence of immediate complications associated with tracheostomy. Methods: Using a questionnaire, prospective data was collected from patients, who presented in Ear, Nose and Throat department at the Kigali University Teaching Hospital (KUTH). Results: 29 patients underwent a tracheostomy. The age rang was 4 to 77 years, mean of 37 years, 82.8% were aged above 18 years. Male to female ratio was 3.8:1. The incidence of tracheostomy was 9.5%. The most common indication was prolonged intubation accounting for 55.2% of cases. No intra -operative

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Section: Discussionmentioning

confidence: 99%

Indications and immediate outcomes of tracheostomy in Rwanda

Charles¹,

Mukara²

2018

Ann Afr Surg.

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“…1,2,5 Intra-articular foreign bodies in a trauma situation should be removed and the knee joint washed out. 3,4 A literature search has shown no previous case reports of a tooth from a patient being found within the knee joint. Our case highlights the importance of examining the mouth and ascertaining the location of any missing teeth.…”

Section: Discussionmentioning

confidence: 99%

“…3,4 Formal exploration with an arthrotomy is required to explore and washout the joint. We present a unique case of a patient with a maxillofacial injury consistent with blunt trauma and a tooth situated within the knee joint.…”

Section: Introductionmentioning

confidence: 99%

A unique case report of a tooth as a foreign body in a knee joint

2006

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“…1,2,3,4 In Japan, a few cases have been reported of successful management for complete tracheal disruption due to blunt trauma in traffic accidents, 5,6,7 but there have been no reports of a successful management of complete tracheal disruption due to penetrating injury in a suicide attempt.…”

Section: Discussionmentioning

confidence: 99%

Successful surgical management of complete tracheal disruption due to penetrating injury

Togashi

Sugawara

Sato

et al. 2002

Jpn J Thorac Caridovasc Surg

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Successful management of penetrating injury to the trachea is rare, especially in Japan. A 32-year-old female attempted suicide by stabbing herself in the throat with a knife, and at operation the trachea was found to be completely disrupted. A median sternotomy made possible end-to-end anastomosis of the trachea. All other important organs including the great vessels, esophagus, and lungs were intact, but the pleura was open on the right side. The patient was managed under heavy sedation and with controlled ventilation for more than a week postoperatively, because of her suspected mental condition. She was extubated on postoperative day 13 and transferred to a mental hospital on day 16. We concluded that early diagnosis and surgical repair were important for the successful management of this patient with tracheal disruption.

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Management of Penetrating Pneumatic Nailgun Injuries of the Knee

Cited by 12 publications

References 0 publications

Indications and immediate outcomes of tracheostomy in Rwanda

Indications and immediate outcomes of tracheostomy in Rwanda

A unique case report of a tooth as a foreign body in a knee joint

Successful surgical management of complete tracheal disruption due to penetrating injury

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