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Published on: September 28, 2022
Definitive Management of a Traumatic Airway: Case Report
Robert A Fabich1, Benjamin T Franklin1, Nicholas Langan1
1United State Army, PROFIS 102nd Forward Surgical Team, Joint Base Lewis-McChord (JBLM), Fort Lewis, WA 98433.
Abstract:
Maxillofacial and neck trauma from penetrating injuries present unique challenges for anesthesia providers and surgeons. In the austere conditions of a combat setting these challenges may be amplified due to limited resources and injury severity. Currently there is a lack of evidence and consensus on how to best manage a traumatized airway in this situation. The authors of this paper present the successful emergency management of a traumatized airway from a severe maxillofacial and neck-penetrating wound. A stepwise team approach using strong communication and a global mental model facilitated definitive airway management in this case allowing for safe transport to definitive care.
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