Lesiones faciales y espinales por empalamiento: un reto a la vía aérea
Facial and spinal impalement injury: An airway challenge.
Gupta B, Agrawal P, Soni KD, D'souza N, Sinha S.
Department of Anesthesia, Jai Prakash Narayan Apex Trauma Center, All India Institute of Medical Sciences, New Delhi, India.
Indian J Crit Care Med. 2011 Oct;15(4):236-7.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3271562/
El paciente con trauma maxilofacial: haciendo frente a la vía aérea difícil
Maxillofacial trauma patient: coping with the difficult airway.
Krausz AA, El-Naaj IA, Barak M.
Department of Anesthesiology, Rambam Health Care Campus, and Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel. michal_8@hotmail.com.
World J Emerg Surg. 2009 May 27;4:21.
Abstract
Establishing a secure airway in a trauma patient is one of the primary essentials of treatment. Any flaw in airway management may lead to grave morbidity and mortality. Maxillofacial trauma presents a complex problem with regard to the patient's airway. By definition, the injury compromises the patient's airway and it is, therefore, must be protected. In most cases, the patient undergoes surgery for maxillofacial trauma or for other, more severe, life-threatening injuries, and securing the airway is the first step in the introduction of general anaesthesia. In such patients, we anticipate difficult endotracheal intubation and, often, also difficult mask ventilation. In addition, the patient is usually regarded as having a "full stomach" and has not been cleared of a C-spine injury, which may complicate airway management furthermore. The time available to accomplish the task is short and the patient's condition may deteriorate rapidly. Both decision-making and performance are impaired in such circumstances. In this review, we discuss the complexity of the situation and present a treatment approach.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2693512/pdf/1749-7922-4-21.pdf
Atentamente
Anestesiología y Medicina del Dolor
www.anestesia-dolor.org
Facial and spinal impalement injury: An airway challenge.
Gupta B, Agrawal P, Soni KD, D'souza N, Sinha S.
Department of Anesthesia, Jai Prakash Narayan Apex Trauma Center, All India Institute of Medical Sciences, New Delhi, India.
Indian J Crit Care Med. 2011 Oct;15(4):236-7.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3271562/
El paciente con trauma maxilofacial: haciendo frente a la vía aérea difícil
Maxillofacial trauma patient: coping with the difficult airway.
Krausz AA, El-Naaj IA, Barak M.
Department of Anesthesiology, Rambam Health Care Campus, and Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel. michal_8@hotmail.com.
World J Emerg Surg. 2009 May 27;4:21.
Abstract
Establishing a secure airway in a trauma patient is one of the primary essentials of treatment. Any flaw in airway management may lead to grave morbidity and mortality. Maxillofacial trauma presents a complex problem with regard to the patient's airway. By definition, the injury compromises the patient's airway and it is, therefore, must be protected. In most cases, the patient undergoes surgery for maxillofacial trauma or for other, more severe, life-threatening injuries, and securing the airway is the first step in the introduction of general anaesthesia. In such patients, we anticipate difficult endotracheal intubation and, often, also difficult mask ventilation. In addition, the patient is usually regarded as having a "full stomach" and has not been cleared of a C-spine injury, which may complicate airway management furthermore. The time available to accomplish the task is short and the patient's condition may deteriorate rapidly. Both decision-making and performance are impaired in such circumstances. In this review, we discuss the complexity of the situation and present a treatment approach.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2693512/pdf/1749-7922-4-21.pdf
Atentamente
Anestesiología y Medicina del Dolor
www.anestesia-dolor.org
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