Roaa Suleiman , Ayten Saracoglu , Redouane Mecharnia , Bushra M. Abdallah , Layla J.M. Kily , Loubna Zabat , Sana Saleem , Kemal Tolga Saracoglu
{"title":"A knife to the neck; An airway challenge for the Anesthesiologist: A case report","authors":"Roaa Suleiman , Ayten Saracoglu , Redouane Mecharnia , Bushra M. Abdallah , Layla J.M. Kily , Loubna Zabat , Sana Saleem , Kemal Tolga Saracoglu","doi":"10.1016/j.tacc.2024.101490","DOIUrl":null,"url":null,"abstract":"<div><div>Penetrating neck injuries are potentially life-threatening emergencies that can pose significant airway difficulties. There is a lack of evidence regarding the best practice for airway management in these patients. We aimed to describe a multistep approach to airway management in a 36-year-old patient with a 3 cm deep penetrating neck stab wound. A combined technique of videolaryngoscope and fiberoptic scope was utilized to secure the airway, considering the patient's stability and cooperation. In conclusion, D blade-assisted tracheal intubation following rapid sequence induction can be considered as a safe alternative to awake intubation with a high success rate in selected patients with penetrating neck injuries.</div></div>","PeriodicalId":44534,"journal":{"name":"Trends in Anaesthesia and Critical Care","volume":"58 ","pages":"Article 101490"},"PeriodicalIF":1.4000,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Trends in Anaesthesia and Critical Care","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S221084402400159X","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"ANESTHESIOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Penetrating neck injuries are potentially life-threatening emergencies that can pose significant airway difficulties. There is a lack of evidence regarding the best practice for airway management in these patients. We aimed to describe a multistep approach to airway management in a 36-year-old patient with a 3 cm deep penetrating neck stab wound. A combined technique of videolaryngoscope and fiberoptic scope was utilized to secure the airway, considering the patient's stability and cooperation. In conclusion, D blade-assisted tracheal intubation following rapid sequence induction can be considered as a safe alternative to awake intubation with a high success rate in selected patients with penetrating neck injuries.