Pathophysiology and management of Airway Trauma

Chhabra, Anjolie; Rudingwa, Priya; Selvam, Sakthi Rajan Panneer

doi:10.1016/j.tacc.2013.02.004

Cited by 8 publications

(10 citation statements)

References 20 publications

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“…The initial evaluation of a trauma patient begins with the "ABC's" of trauma management: establish a secure airway, breathing/respiration, and volume resuscitation [3,8,9]. For our study, the mortality was associated with initial SBP at the hospital, GCS, and transfusion (Table 5).…”

Section: Discussionmentioning

confidence: 99%

Experiences of Penetrating Neck Injuries in a Single Institution

Noh

Choi

2020

Preprint

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Background: The neck is a particularly critical region to sustain penetrating injuries, due to the close approximation of the trachea, esophagus, blood vessels, and the spinal cord. A penetrating neck injury has the potential for serious morbidity and mortality. The purpose of this study is to evaluate the assessment and management of penetrating neck injuries.Methods: In this retrospective study, penetrating neck injury patients who were admitted to Eulji University Hospital Trauma Center, between December 2015 and December 2017, were analyzed for epidemiology, mechanism of trauma, injured organ, complications, and mortality.Results: Thirty-two patients presented with a penetrating neck injury. All patients underwent computed tomographic angiography to evaluate their injuries once vital signs were stabilized.Among these patients, 27 required surgical treatment. The most commonly injured organ was the trachea. Overall mortality was five, and the main cause of death was bleeding. The mortality was associated with initial systolic blood pressure at the hospital, Glasgow coma scale, transfusion and the abbreviated injury scale of neck.Conclusion: Meticulous clinical examination as well as early volume resuscitation is essential for treating penetrating neck injury patients. Aggressive fluid therapy during transfer to the hospital will help the patient, even if the damage is severe.

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Section: Discussionmentioning

confidence: 99%

Experiences of Penetrating Neck Injuries in a Single Institution

Noh

Choi

2020

Preprint

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“…The view could be impaired by tissue debris and blood clots, and the bronchoscope itself can induce bleeding or bronchospasm. 12 Because our bronchoscope is not telescopic, the view was somewhat difficult and our decision-making mandated more than one operator. Manual ventilation with a large volume and high pressure just before and beyond the suspicious site could assist the diagnosis by observing the degree of air leakage in the chest drain.…”

Section: Discussionmentioning

confidence: 99%

Tracheobronchial injuries: tertiary center experience

Saleh

Beshir

Mohammed

et al. 2019

Asian Cardiovasc Thorac Ann

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Background Tracheobronchial injury is a rare and serious outcome of thoracic trauma. The aim of this study was to describe our experience in the management of tracheobronchial injuries. Methods We reviewed the presentation, line of management, and results of all 23 patients (17 males and 6 females) with a mean age of 27.87 years, who presented with traumatic tracheobronchial injuries and were admitted to the level 3 trauma center of our university emergency hospital over an eight-year period. Results Blunt trauma was the leading cause (73.9%) of injury. Bronchoscopy was routinely performed. A right thoracotomy was carried out in 73.9% of patients. The right main bronchus was the most common site of injury (30.4%), followed by the trachea in 26.1%. Pulmonary resection was undertaken in 5 cases. Three operative mortalities were recorded. Conclusion Tracheobronchial injuries can be treated conservatively or ideally by surgical repair which is the core line of treatment. Surgery has excellent outcomes depending on skillful use of bronchoscopy and the surgeon’s experience of the surgical approach and technique.

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“…In neck trauma, DCS includes management of hemorrhage and infection, temporary wound closure, resuscitation, and subsequent re-exploration and definitive repair of the injured organs [1] . Traditionally, DCS was limited to abdominal penetrating injuries, but it has recently expanded to include other injuries, including injuries in the maxillofacial and neck regions [7] .…”

Section: Discussionmentioning

confidence: 99%

“…In neck trauma, damage control surgery (DCS) includes management of hemorrhage and infection, temporary wound closure, resuscitation, and subsequent re-exploration and definitive repair of the injured organs [1] . Transection of the thyrohyoid membrane is rare.…”

Section: Introductionmentioning

confidence: 99%

Thyrohyoid membrane transection caused by a stab injury

Noh

Yeo

Cho

et al. 2017

Trauma Case Reports

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BackgroundThe thyrohyoid membrane is located between the hyoid bone and thyroid cartilage. Transection of the thyrohyoid membrane can be fatal.Case presentationA 54-year-old man presented to the emergency room after attempting to commit suicide by cutting his neck. An endotracheal tube was inserted through the thyrohyoid membrane, which had been cut almost completely. After a tracheostomy, temporary wound closure was performed due to coagulopathy caused by hemorrhagic shock. Several hours later, a hyoidothyroidopexy was performed. Damage control surgery was applied to this patient's neck injury. The tracheostomy tube was removed postoperatively and he was discharged without complications.ConclusionDamage control surgery could be an option for airway injury with blood clotting problems due to massive bleeding after securing a patent airway.

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Pathophysiology and management of Airway Trauma

Cited by 8 publications

References 20 publications

Experiences of Penetrating Neck Injuries in a Single Institution

Experiences of Penetrating Neck Injuries in a Single Institution

Tracheobronchial injuries: tertiary center experience

Thyrohyoid membrane transection caused by a stab injury

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