Traumatic asphyxia: An indicator of significant pulmonary injury

Newquist, Marc J.; Sobel, Richard M.

doi:10.1016/0735-6757(90)90325-t

Cited by 24 publications

(15 citation statements)

References 19 publications

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“…[3469] In our case, neurological complications were severe as shown by the Glasgow Coma Score E1VtM3 at admission, progression to status epilepticus, and the high level of NSE in blood at 48 hrs and lack of response to evoked potentials. The frequency of neurological disorders contrasts with the paucity of histological lesions in the brain.…”

Section: Discussionmentioning

confidence: 81%

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A fatal case of Perthes syndrome

Jobe¹,

Ghuysen²,

Hartstein³

et al. 2013

J Emerg Trauma Shock

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Perthes syndrome, or traumatic asphyxia, is a clinical syndrome associating cervicofacial cyanosis with cutaneous petechial haemorrhages and subconjonctival bleeding resulting from severe sudden compressive chest trauma. Deep inspiration and a Valsalva maneuver just prior to rapid and severe chest compression, are responsible for the development of this syndrome. Current treatment is symptomatic: urgent relief of chest compression and cardiopulmonary resuscitation if needed. Outcome may be satisfactory depending on the duration and severity of compression. Prolonged thoracic compression may sometimes lead to cerebral anoxia, irreversible neurologic damage and death. We report a fatal case of Perthes syndrome resulting from an industrial accident.

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Section: Discussionmentioning

confidence: 81%

“…Other causes are divided between work-related accidents, sports accidents and crushing during crowding or mass movements. [367] Whatever the cause, a phenomenon of compression of the chest is always found.…”

Section: Discussionmentioning

confidence: 99%

A fatal case of Perthes syndrome

Jobe¹,

Ghuysen²,

Hartstein³

et al. 2013

J Emerg Trauma Shock

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“…7 It has also been reported to be related to asthma, paroxysmal coughing, protracted vomiting, and jugular venous occlusion. 8 It was first described over 170 years ago by Ollivier in his observations on the cadavers of people trampled upon during crowd upheavals in Paris on Bastille Day. 9 Later, Perthe's added some other characteristics such as mental dullness, hyperpyrexia, hemoptysis, tachypnea and "contusion pneumonia" to the initial description.…”

Section: Discussionmentioning

confidence: 98%

Traumatic Asphyxia with Diaphragmatic Injury: A Case Report

Lateef¹

2015

Oman Med J

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Traumatic asphyxia, or Perthe's syndrome, is a rare clinical syndrome characterized by cervicofacial cyanosis, petechiae, subconjunctival hemorrhage, neurological symptoms, and thoracic injury. It affects both adults and children after blunt chest traumas. The diagnosis of this condition is based mainly on the specific clinical signs, which should immediately bring to mind the severity of the trauma, the various probable types of pulmonary injuries, and the need for screening and careful assessment of other organs that might also be injured. In this report, we describe the case of a 39-year-old male who developed traumatic asphyxia after severe blunt chest trauma during his work at a construction site. The patient had multiple injuries to the chest, abdomen, head and neck, which were treated conservatively. An associated diaphragmatic injury was successfully treated by video-assisted thoracic surgery. This patient is one of five patients who were admitted to Saqr Hospital in the United Arab Emirates, diagnosed with traumatic asphyxia, and treated by mechanical ventilator, supportive measures, and fiberoptic bronchoscopy, for both diagnostic and therapeutic indications, in our unit in the period between July 2006 and June 2013. As traumatic asphyxia is a systemic injury, careful assessment of the patient and looking for other injuries is mandatory. Treatment usually involves supportive measures to the affected organs, but surgical intervention may sometimes prove to be an important part of the treatment. Bronchoscopy should be performed for diagnostic and therapeutic reasons because of the associated pulmonary and possible tracheobronchial injuries.

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“…Prolonged compression is associated with increased mortality and is most likely secondary to apnea and hypoxemia (10). Since traumatic asphyxia is most often secondary to severe crushing injuries, other traumatic injuries, such as pneumothorax, hemothorax, flail chest, pulmonary contusions, blunt abdominal injuries (ie, splenic lacerations and liver lacerations), and blunt pelvic injuries, must be considered (13,14).…”

Section: Discussionmentioning

confidence: 99%