Related Experiment Video
Updated: Aug 19, 2025
05:12
Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
Published on: May 12, 2023
3.8K
Cut Neck, Department of E.N.T in a Tertiary Centre: How We Approach
Jyotirmoy Phookan1, Rakesh Talukdar1, Hirak Jyoti Das1
1Department of ENT, Assam Medical College and Hospital, Dibrugarh, Assam 786002 India.
Summary
Cut neck injuries require immediate attention to prevent severe complications and ensure survival. Prompt surgical exploration and airway management are crucial for successful outcomes in neck trauma patients.
Area of Science:
- Trauma Surgery
- Otolaryngology
- Surgical Innovation
Background:
- Cut neck injuries pose significant risks, including prolonged hospitalization, high costs, reduced quality of life, and mortality.
- Potential complications include shock, sepsis, laryngotracheal stenosis, and fistula formation, necessitating thorough exploration and management.
- Tracheal repair demands specialized attention to prevent stenosis, a critical consideration in airway reconstruction.
Purpose of the Study:
- To evaluate the management strategies for cut neck injuries, with a focus on airway reconstruction.
- To assess the outcomes of surgical interventions in patients with neck trauma, particularly those involving the trachea.
- To highlight the importance of an airway reconstruction team in managing complex neck injuries.
Main Methods:
- A prospective study involving 12 patients over 8 months.
- Detailed analysis of management plans, including two tracheoplasty cases.
- Assessment of hemodynamic stability and injuries to hollow viscera.
Main Results:
- Suicidal cut neck injury was the most common cause (11:1 male to female ratio).
- Two cases involved tracheal stenosis post-tracheostomy; one had associated neurovascular injury with a patent airway.
- Most repairs were performed under general and/or local anesthesia, prioritizing airway maintenance and injury assessment.
Conclusions:
- Maintaining a patent airway and assessing the extent of injury are primary goals to reduce morbidity.
- Surgical expertise in airway reconstruction is vital for successful repair and minimizing complications.
- An integrated airway reconstruction team is essential for optimal management of neck trauma patients.
Related Concept Videos
01:16Tracheostomy Care I: Pre-procedural Steps
330
A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
The equipment necessary for tracheostomy care includes:
Required Equipment
The equipment necessary for tracheostomy care includes:
330
01:15Endotracheal Intubation I: Procedure
2.4K
Endotracheal or ET intubation is a critical medical procedure used to secure a patient's airway, often in acute respiratory distress, apnea, upper airway obstruction, ineffective clearance of secretions, high risk for aspiration, or during general anesthesia.
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
2.4K
01:22Cardiopulmonary Resuscitation II: ACLS Airway Management
56
Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
56
01:28Esophageal Perforation-II: Clinical Manifestations and Management
130
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
130
01:30Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques
44
Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
44
01:17Endotracheal Intubation II: Nursing Management
1.0K
Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
1.0K