Department of Anaesthesiology, The Aga Khan University Hospital, Karachi, Pakistan.
Department of Surgery, The Aga Khan University Hospital, Karachi, Pakistan.
J Coll Physicians Surg Pak. 2021 Aug;31(8):992-994. doi: 10.29271/jcpsp.2021.08.992.
Tracheal injuries, following blunt neck trauma, are life-threatening surgical emergencies with high risk of mortality. A high index of suspicion is necessary to avoid missing an occult injury because delays in diagnosis and definitive treatment are associated with poorer outcomes. We, herein, report a case of a 28-year man who presented in Emergency Department 15 days after blunt neck trauma from an accident involving electric cable. Anaesthetic challenges, airway management and importance of effective close loop communication, during repair of complex tracheal reconstruction, will be discussed in this case report. Key Words: Blunt trauma, Airway and anesthetic management, Tracheal injury.
气管损伤是一种潜在的致命性疾病，由颈部钝性创伤引起，是一种具有高死亡率的外科急症。因此，对于这种隐匿性损伤，必须高度怀疑并及时诊断，以免延误治疗，因为诊断和治疗的延迟与较差的预后相关。我们在此报告了一例 28 岁男性患者的病例，他在一次涉及电缆的事故中受到颈部钝性创伤后 15 天到急诊就诊。本文将讨论在修复复杂气管重建时的麻醉挑战、气道管理以及有效的闭环沟通的重要性。关键词：钝性创伤、气道和麻醉管理、气管损伤。
