Emergency percutaneous tracheostomy in a severely burned patient with upper airway obstruction and circulatory arrest

被引:17
|
作者
Schlossmacher, P [1 ]
Martinet, O [1 ]
Testud, R [1 ]
Agesilas, F [1 ]
Benhamou, O [1 ]
Gauzëre, BA [1 ]
机构
[1] Ctr Hosp Dept Felix Guyon, Intens Care Unit, F-97400 St Denis, Reunion, France
关键词
intensive care; airway obstruction; cardiac arrest; airway management; crycothyroidotomy; percutaneous tracheostomy;
D O I
10.1016/j.resuscitation.2005.06.021
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
We report the life-saving use of Griggs percutaneous tracheostomy in an arrested patient with complex upper airway obstruction, as a result of burns, smoke injuries and iterative tracheal. intubation attempts. The technique was performed blindly at bedside to treat an acute episode of failed ventilation and intubation and cardiac arrest in a patient with altered neck anatomy. The intervention salvaged the situation, leaving a definitive airway. The feasibility of using an emergency Griggs percutaneous tracheostomy versus cricothyroidotomy is suggested in selected cases. (c) 2005 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:301 / 305
页数:5
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