Traumatic Tracheal Disruption—Diagnostic Difficulties

Difficulties in tracheal intubation

Functional difficulties resulting from traumatic anisocoria.

An abnormal mydriasis of the pupil may be present after blunt contusion of the eye. Pro~ longed mydriasis indicates partial or complete rupture of the iris sphincter and may he permanent. 1 Anisocoria resulting from unilateral mydriasis may be associated with visual difficulties. Difficulties may be expected at nearwork because of the reduced depth of focus of the dilated eye. Other difficultie...

Tracheal resection and anastomosis in a mallard duck (Anas platyrhynchos) with traumatic segmental tracheal collapse.

A male mallard duck (Anas platyrhynchos) presented for examination for acute respiratory distress and lethargy. The duck had experienced recurrent episodes of respiratory distress since being attacked by a raccoon the previous year, resulting in neck lacerations. Diagnostic tests, including a complete blood count, plasma biochemical analysis, radiography, and tracheoscopy, revealed a collapsed ...

Pediatric sleep difficulties after moderate-severe traumatic brain injury.

The objective of this study is to systematically investigate sleep following moderate-severe pediatric traumatic brain injury (TBI). School-aged children with moderate-severe TBI identified via hospital records were invited to participate, along with a school-age sibling. Subjective reports and objective actigraphy correlates of sleep were recorded: Children's Sleep Habits Questionnaire (CSHQ),...

Guidelines for emergency tracheal intubation immediately after traumatic injury.

I. STATEMENT OF THE PROBLEM Hypoxia and obstruction of the airway are linked to preventable and potentially preventable acute trauma deaths. There is substantial documentation that hypoxia is common in severe brain injury and worsens neurologic outcome. The primary concern with acute postinjury respiratory system insufficiency is hypoxemic hypoxia and subsequent hypoxic encephalopathy or cardia...