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Published on: January 18, 2018

Case of the month: A case of airway obstruction following tenecteplase administration

L Kirkham1, J Homewood, P Brook

  • 1Department of Anaesthetics, Bristol Royal Infirmary, Bristol BS2 8HW, UK. kirkhamlucy@hotmail.com

Emergency Medicine Journal : EMJ
|September 22, 2006
PubMed

The value of thrombolysis in the treatment of acute myocardial infarction is well established. Haemorrhage into subcutaneous tissues is fortunately a rare complication of fibrinolytic administration. However, if as a result of trauma a haematoma develops within the neck following thrombolysis, it can lead to rapid airway compromise. This is the first reported case of tenecteplase administration leading to subcutaneous haemorrhage and consequent airway compromise. It is also the first reported case where the antecedent trauma was a jaw thrust.

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