Life threatening complications after unsuccessful attempt of the guidewire dilating forceps tracheostomy in multi-trauma patient with cervical spine injury.

نویسندگان

  • Dubravka Bartolek
  • Nenad Somun
  • Franjo Bartolek
  • Kata Zdravcević-Sakić
  • Zoran Lajtman
  • Tihomir Banić
  • Gordana Cavrić
  • Vesna Kovabić-Vicić
چکیده

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.

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عنوان ژورنال:
  • Collegium antropologicum

دوره 33 4  شماره 

صفحات  -

تاریخ انتشار 2009