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Complete cervical tracheal transection due to blunt trauma.
Kenichi Nitta1, Yujiro Hamano1, Hiroshi Kamijo1
1Department of Emergency and Critical Care Medicine Shinshu University School of Medicine Nagano Japan.
Acute Medicine & Surgery
|November 11, 2017
Summary
A rare complete cervical tracheal transection occurred after a snow-removing truck accident. Prompt airway management with bronchoscopy and surgical repair led to successful healing.
Area of Science:
- Trauma surgery
- Emergency medicine
- Anesthesiology
Background:
- Blunt force trauma can cause severe airway injuries.
- Complete cervical tracheal transection is an exceptionally rare but life-threatening injury.
Observation:
- A 31-year-old male sustained a complete cervical tracheal transection after entanglement with a snow-removing truck rotor.
- Initial management included tube thoracostomy for tension pneumothorax, but respiratory distress persisted.
Findings:
- Computed tomography confirmed complete cervical tracheal transection.
- Bronchoscopic guidance was crucial for advancing the endotracheal tube distal to the transection, stabilizing the patient.
- Emergent surgical repair resulted in successful healing of the tracheal injury.
Implications:
- Complete cervical tracheal transection necessitates a high index of suspicion for prompt diagnosis.
- Securing the airway, particularly with fiberoptic bronchoscopy, is critical for patient survival.
- This case highlights the importance of advanced airway management techniques in severe neck trauma.
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