Department of Anaesthesia, Christian Medical College Vellore, Vellore, Tamil Nadu, India
Department of Anaesthesia, Christian Medical College Vellore, Vellore, Tamil Nadu, India.
BMJ Case Rep. 2024 Sep 13;17(9):e261118. doi: 10.1136/bcr-2024-261118.
Blunt injury to the neck following high-impact trauma can be associated with airway injury. The anaesthesiologist should have a high index of suspicion for the same when the patient presents for any surgical intervention for trauma. A complete evaluation of the tracheobronchial tree using a flexible bronchoscope is essential before instrumenting the airway in a child with suspected laryngotracheal trauma because blind intubation can convert a lesser grade airway trauma into a significant one. We report the airway management in a child belonging to middle childhood, who presented with complete tracheal transection after a blunt laryngotracheal trauma.
颈外伤后，高冲击力创伤可导致气道损伤。当患者因创伤而接受任何外科干预时，麻醉师应高度怀疑存在这种情况。在对疑似喉气管创伤的儿童进行气道器械操作之前，使用可弯曲支气管镜对气管支气管树进行全面评估至关重要，因为盲目插管可将较轻程度的气道创伤转变为严重程度的创伤。我们报告了一名属于中度儿童期的患儿的气道管理，该患儿在钝性喉气管创伤后出现完全性气管断裂。
