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Complete Tracheal Transection in a 3-Year-Old After Blunt Neck Trauma: a Case Report
Cameron R Smith1, Gijo Alex1,2, Fernando Zayas-Bazan1,3
1Department of Anesthesiology, University of Florida College of Medicine, Gainesville, Florida, USA.
Romanian Journal of Anaesthesia and Intensive Care
|May 31, 2021
Summary
Severe pediatric neck trauma can cause complete tracheal transection. Extracorporeal membrane oxygenation (ECMO) provided vital support for a child with this rare injury, enabling definitive airway management.
Area of Science:
- Trauma Surgery
- Pediatric Critical Care
- Anesthesiology
Background:
- Pediatric laryngotracheal injuries from blunt force trauma are uncommon but serious.
- Severe injuries can cause significant morbidity and mortality.
- Extracorporeal membrane oxygenation (ECMO) is a potential supportive therapy for critical cases.
Observation:
- A 3-year-old girl sustained a complete tracheal transection from blunt neck trauma (all-terrain vehicle accident).
- The injury occurred when her neck impacted a fence.
- The transection was at the C7-T1 vertebral level.
Findings:
- Emergent extracorporeal membrane oxygenation (ECMO) cannulation was initiated for the patient.
- This case highlights the successful use of ECMO in managing severe pediatric tracheal disruption.
- The patient required definitive airway management by a skilled multidisciplinary team.
Implications:
- Prompt recognition and management are crucial for pediatric laryngotracheal trauma.
- ECMO can be a life-saving intervention in severe pediatric tracheal injuries.
- A multidisciplinary approach is essential for optimal outcomes in these complex cases.
