Emergent airway management in blunt tracheal trauma: A novel use of the mini-tracheostomy kit
Aim: To report and discuss a novel way of managing the airway in a difficult case of anterior tracheal wall disruption caused by blunt trauma to the neck. Background: Tracheal injury resulting in laceration of the windpipe may present with either one or many of the multitude of problems such as resp...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2020-01-01
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| Series: | Journal of Family Medicine and Primary Care |
| Subjects: | |
| Online Access: | http://www.jfmpc.com/article.asp?issn=2249-4863;year=2020;volume=9;issue=1;spage=439;epage=441;aulast=Shukla |
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| author | Rajiv Shukla Seelora Sahu Shashi Kant K P Dubey Amlan Swain Vamsi K Uppalapati |
| author_facet | Rajiv Shukla Seelora Sahu Shashi Kant K P Dubey Amlan Swain Vamsi K Uppalapati |
| author_sort | Rajiv Shukla |
| collection | DOAJ |
| description | Aim: To report and discuss a novel way of managing the airway in a difficult case of anterior tracheal wall disruption caused by blunt trauma to the neck. Background: Tracheal injury resulting in laceration of the windpipe may present with either one or many of the multitude of problems such as respiratory distress, hoarseness of voice and subcutaneous emphysema. Most often it requires surgical intervention. Case Description: We hereby present the novel use of a mini-tracheostomy kit as an aid in the cannot-intubate-cannot-ventilate situation of a 30-year-old patient presenting with severe features of blunt tracheal injury. The airway was established critically with the use of the mini-tracheostomy kit in a “cannot-intubate-cannot-ventilate” situation during surgical tracheostomy and a potentially disastrous cardiorespiratory arrest situation was averted. Conclusion: Timely presence of airway equipment, adequate preparation, a willingness to innovate and a team approach are of paramount importance in dealing with difficult airway situations that are presented in myriad and complex ways. Clinical Significance: The stylet of mini-tracheostomy kit can be used in emergent airway management especially in clinical situations mimicking ours specifically as a guide for insertion of the standard tracheostomy tube. |
| first_indexed | 2024-12-13T10:49:04Z |
| format | Article |
| id | doaj.art-5b67fc5a221643b0b326b1c6e9ae01d8 |
| institution | Directory Open Access Journal |
| issn | 2249-4863 |
| language | English |
| last_indexed | 2024-12-13T10:49:04Z |
| publishDate | 2020-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Family Medicine and Primary Care |
| spelling | doaj.art-5b67fc5a221643b0b326b1c6e9ae01d82022-12-21T23:49:58ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632020-01-019143944110.4103/jfmpc.jfmpc_865_19Emergent airway management in blunt tracheal trauma: A novel use of the mini-tracheostomy kitRajiv ShuklaSeelora SahuShashi KantK P DubeyAmlan SwainVamsi K UppalapatiAim: To report and discuss a novel way of managing the airway in a difficult case of anterior tracheal wall disruption caused by blunt trauma to the neck. Background: Tracheal injury resulting in laceration of the windpipe may present with either one or many of the multitude of problems such as respiratory distress, hoarseness of voice and subcutaneous emphysema. Most often it requires surgical intervention. Case Description: We hereby present the novel use of a mini-tracheostomy kit as an aid in the cannot-intubate-cannot-ventilate situation of a 30-year-old patient presenting with severe features of blunt tracheal injury. The airway was established critically with the use of the mini-tracheostomy kit in a “cannot-intubate-cannot-ventilate” situation during surgical tracheostomy and a potentially disastrous cardiorespiratory arrest situation was averted. Conclusion: Timely presence of airway equipment, adequate preparation, a willingness to innovate and a team approach are of paramount importance in dealing with difficult airway situations that are presented in myriad and complex ways. Clinical Significance: The stylet of mini-tracheostomy kit can be used in emergent airway management especially in clinical situations mimicking ours specifically as a guide for insertion of the standard tracheostomy tube.http://www.jfmpc.com/article.asp?issn=2249-4863;year=2020;volume=9;issue=1;spage=439;epage=441;aulast=Shuklablunt trauma necktracheal injurytracheostomy |
| spellingShingle | Rajiv Shukla Seelora Sahu Shashi Kant K P Dubey Amlan Swain Vamsi K Uppalapati Emergent airway management in blunt tracheal trauma: A novel use of the mini-tracheostomy kit Journal of Family Medicine and Primary Care blunt trauma neck tracheal injury tracheostomy |
| title | Emergent airway management in blunt tracheal trauma: A novel use of the mini-tracheostomy kit |
| title_full | Emergent airway management in blunt tracheal trauma: A novel use of the mini-tracheostomy kit |
| title_fullStr | Emergent airway management in blunt tracheal trauma: A novel use of the mini-tracheostomy kit |
| title_full_unstemmed | Emergent airway management in blunt tracheal trauma: A novel use of the mini-tracheostomy kit |
| title_short | Emergent airway management in blunt tracheal trauma: A novel use of the mini-tracheostomy kit |
| title_sort | emergent airway management in blunt tracheal trauma a novel use of the mini tracheostomy kit |
| topic | blunt trauma neck tracheal injury tracheostomy |
| url | http://www.jfmpc.com/article.asp?issn=2249-4863;year=2020;volume=9;issue=1;spage=439;epage=441;aulast=Shukla |
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