Preliminary communication
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
Abstract
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.
Keywords
percutaneous tracheostomy; cervical spine trauma; complications; critical care
Hrčak ID:
51544
URI
Publication date:
1.12.2009.
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