Emergency Airway Management in Neck Trauma | ||||
The Egyptian Journal of Hospital Medicine | ||||
Article 9, Volume 70, Issue 3, January 2018, Page 409-413 PDF (209.33 K) | ||||
Document Type: Original Article | ||||
DOI: 10.12816/0043478 | ||||
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Authors | ||||
Ebtesam Eissa Ali Madkhali ![]() | ||||
1Jazan University | ||||
2Umm Alqura University | ||||
3King Abdulaziz University | ||||
4Ibn Sina National College | ||||
5Imam Mohammed Bin Saud University | ||||
6Imam Faisal Bin Abdulrahman University | ||||
7King Faisal University | ||||
8Maternity And Children Hospital – Dammam | ||||
9Hera General Hospital | ||||
10Royal College Of Surgeons In Ireland (RCSI) | ||||
11Majmaah University | ||||
Abstract | ||||
Airway management in patients who have sustained direct trauma to the airway is among the most challenging problems for emergency clinicians. Blunt or penetrating injuries to the head, oropharynx, neck, or upper chest can result in immediate or delayed airway obstruction. Immediate, definitive airway management is needed when the patient cannot protect his airway or is unable to sufficiently oxygenate or ventilate. Emergent or urgent airway management is specified when a patient develops respiratory distress or when symptoms are progressing rapidly. In addition, airway management often is indicated when the patient appears clinically stable, but the clinician anticipates clinical decline (e.g., smoke inhalation, edema, subcutaneous air, hematoma) or feels that an unprotected airway presents a risk to the patient who requires transport to another facility or to radiology for extensive diagnostic studies. The higher rate of complicated airways in this population mandates that the clinician has to be prepared to use advanced airway techniques, including a surgical airway. | ||||
Keywords | ||||
Neck Trauma; penetrating; Management; emergency department | ||||
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