A retropharyngeal-mediastinal hematoma with supraglottic and tracheal obstruction: The role of multidisciplinary airway management
A 77-year-old man suffered hypoxemic cardiac arrest by supraglottic and tracheal airway obstruction in the emergency department. A previously unknown cervical fracture had caused a traumatic retropharyngeal-mediastinal hematoma. A lifesaving surgical emergency tracheostomy succeeded. Supraglottic an...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2010-01-01
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| Series: | Journal of Emergencies, Trauma and Shock |
| Subjects: | |
| Online Access: | http://www.onlinejets.org/article.asp?issn=0974-2700;year=2010;volume=3;issue=4;spage=409;epage=411;aulast=Birkholz |
| _version_ | 1828155365818105856 |
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| author | Birkholz Torsten Kröber Stefanie Knorr Christian Schiele Albert Bumm Klaus Schmidt Joachim |
| author_facet | Birkholz Torsten Kröber Stefanie Knorr Christian Schiele Albert Bumm Klaus Schmidt Joachim |
| author_sort | Birkholz Torsten |
| collection | DOAJ |
| description | A 77-year-old man suffered hypoxemic cardiac arrest by supraglottic and tracheal airway obstruction in the emergency department. A previously unknown cervical fracture had caused a traumatic retropharyngeal-mediastinal hematoma. A lifesaving surgical emergency tracheostomy succeeded. Supraglottic and tracheal obstruction by a retropharyngeal-mediastinal hematoma with successful resuscitation via emergency tracheostomy after hypoxemic cardiac arrest has never been reported in a context of trauma. This clinically demanding case outlines the need for multidisciplinary airway management systems with continuous training and well-implemented guidelines. Only multidisciplinary staff preparedness and readily available equipments for the unanticipated difficult airway solved the catastrophic clinical situation. |
| first_indexed | 2024-04-11T22:53:14Z |
| format | Article |
| id | doaj.art-027135a002eb419ea58e989feb9bc6fa |
| institution | Directory Open Access Journal |
| issn | 0974-2700 0974-519X |
| language | English |
| last_indexed | 2024-04-11T22:53:14Z |
| publishDate | 2010-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Emergencies, Trauma and Shock |
| spelling | doaj.art-027135a002eb419ea58e989feb9bc6fa2022-12-22T03:58:31ZengWolters Kluwer Medknow PublicationsJournal of Emergencies, Trauma and Shock0974-27000974-519X2010-01-0134409411A retropharyngeal-mediastinal hematoma with supraglottic and tracheal obstruction: The role of multidisciplinary airway managementBirkholz TorstenKröber StefanieKnorr ChristianSchiele AlbertBumm KlausSchmidt JoachimA 77-year-old man suffered hypoxemic cardiac arrest by supraglottic and tracheal airway obstruction in the emergency department. A previously unknown cervical fracture had caused a traumatic retropharyngeal-mediastinal hematoma. A lifesaving surgical emergency tracheostomy succeeded. Supraglottic and tracheal obstruction by a retropharyngeal-mediastinal hematoma with successful resuscitation via emergency tracheostomy after hypoxemic cardiac arrest has never been reported in a context of trauma. This clinically demanding case outlines the need for multidisciplinary airway management systems with continuous training and well-implemented guidelines. Only multidisciplinary staff preparedness and readily available equipments for the unanticipated difficult airway solved the catastrophic clinical situation.http://www.onlinejets.org/article.asp?issn=0974-2700;year=2010;volume=3;issue=4;spage=409;epage=411;aulast=BirkholzAirway obstructionendotrachealemergency medicineintubationtracheostomytrauma center |
| spellingShingle | Birkholz Torsten Kröber Stefanie Knorr Christian Schiele Albert Bumm Klaus Schmidt Joachim A retropharyngeal-mediastinal hematoma with supraglottic and tracheal obstruction: The role of multidisciplinary airway management Journal of Emergencies, Trauma and Shock Airway obstruction endotracheal emergency medicine intubation tracheostomy trauma center |
| title | A retropharyngeal-mediastinal hematoma with supraglottic and tracheal obstruction: The role of multidisciplinary airway management |
| title_full | A retropharyngeal-mediastinal hematoma with supraglottic and tracheal obstruction: The role of multidisciplinary airway management |
| title_fullStr | A retropharyngeal-mediastinal hematoma with supraglottic and tracheal obstruction: The role of multidisciplinary airway management |
| title_full_unstemmed | A retropharyngeal-mediastinal hematoma with supraglottic and tracheal obstruction: The role of multidisciplinary airway management |
| title_short | A retropharyngeal-mediastinal hematoma with supraglottic and tracheal obstruction: The role of multidisciplinary airway management |
| title_sort | retropharyngeal mediastinal hematoma with supraglottic and tracheal obstruction the role of multidisciplinary airway management |
| topic | Airway obstruction endotracheal emergency medicine intubation tracheostomy trauma center |
| url | http://www.onlinejets.org/article.asp?issn=0974-2700;year=2010;volume=3;issue=4;spage=409;epage=411;aulast=Birkholz |
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