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Life Threatening Complications after Unsuccessful Attempt of the Guidewire Dilating Forceps Tracheostomy in Multi-Trauma Patient with Cervical Spine Injury

Dubravka Bartolek ; Department of Anesthesiology and Intensive Care Unit, University Clinic of Traumatology, Zagreb, Croatia
Nenad Somun ; Department of Spine Surgery, University Clinic of Traumatology, Zagreb, Croatia
Franjo Bartolek ; Department of Neurosurgery, Children’s Hospital Zagreb, Zagreb, Croatia
Kata Zdravčević-Šakić ; Department of Anaesthesiology and Intensive Care Unit, University Hospital Centar Zagreb, Croatia
Zoran Lajtman ; Department of Otorhinolaryngology, University Hospital »Merkur«, Zagreb, Croatia
Tihomir Banić ; Department of Spine Surgery, University Clinic of Traumatology, Zagreb, Croatia
Gordana Cavrić ; Intensive Care Unit, Department of Internal Medicine, University Hospital Dubrava, Zagreb, Croatia
Vesna Kovačić-Vicić ; Department of Anesthesiology and Intensive Care Unit, University Clinic of Traumatology, Zagreb, Croatia


Puni tekst: engleski pdf 116 Kb

str. 1409-1413

preuzimanja: 496

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Sažetak

Percutaneous tracheostomy (PCT) is a safe method under proper patient selection, increased technical experience and bronchoscopy- or ultrasound-guided procedure. Trauma patients with cervical spine fractures and spinal cord injury are at a high risk for respiratory failure and require a definitive airway followed by prolonged mechanical ventilation. We would like to present multiple, life- threatening complications after unsuccessful attempt of the guidewire dilating forceps tracheostomy (GWDF) in one trauma patient with a cervical spine injury. With this case report we would like to lay emphasis on the importance of continuously bronchoscopy- or ultrasound-guided PTC in trauma patients, especially with cervical spine injury, as the need to respect the steep-learning curve in its performance.

Ključne riječi

percutaneous tracheostomy; cervical spine trauma; complications; critical care

Hrčak ID:

51544

URI

https://hrcak.srce.hr/51544

Datum izdavanja:

1.12.2009.

Posjeta: 1.066 *