An intoxicated man with facial trauma

Pneumomediastinum, an unusual complication of facial trauma.

Pneumomediastinum is often an incidental finding following a blunt or penetrating trauma to the neck or chest. We report a rare case of pneumomediastinum following an isolated facial trauma that was diagnosed on imaging. We also review the clinical signs of this condition, its radiologic characteristics, and the 18 previously reported cases of pneumomediastinum following facial trauma.

Man with Altered Mentation after Trauma

A 37 year-old male presented after an altercation in which he was dragged by a vehicle. The patient was intoxicated and asking repetitive questions. He demonstrated significant facial trauma—including frank bloody discharge from both ears and dental trauma. His vitals signs were as follows: Temperature 36.8 C; Blood pressure: 125/88; Heart rate: 90; Respiratory rate: 24; O2 sat: 100% room air. ...

Imaging facial trauma

76 - Facial Trauma

temporal bones. The orbit consists of the maxilla, zygoma, frontal, sphenoid, orbital, and lacrimal bones (Fig. 76.1). The face is conventionally divided into thirds: upper, middle, and lower. The borders of each third are loosely defined by branches of the trigeminal nerve, which provides sensory innervation to the face. Identification of the exiting foramen for the distributing branches of th...

anesthetic considerations of sporadic inclusion body myositis in an elderly man with orthopedic trauma

conclusions in summary, there is a lack of consensus about the use of neuromuscular blockers in patients with ibm. the authors avoided these drugs and were able to easily secure the patient’s airway and maintain adequate muscle relaxation using a balanced sevoflurane-remifentanil anesthetic. clinical trials are necessary to define the pharmacology of neuromuscular blockers in patients with ibm ...