Successful Management Of A Threatened Airway In A Child With Near Complete Supraglottic Transection Of The Larynx: Case Report

Le résumé fourni par la source

The laryngotracheal trauma is an extremely challenging scenario especially in children as it may be associated with a threatened airway, unstable cervical spine, the risk for major hemorrhage, and other associated traumatic injuries. We report a successful emergency airway management of a very rare presentation of an open pediatric laryngotracheal injury. A 10-year-old 20kg male child sustained a 20 cm lacerated wound over the anterior aspect of the neck and a horizontal tracheal rent through a wire tied over the windshield of a two-wheeler, while hit by a car from the backside. The child was agitated and had noisy breathing along with coughing of blood-stained sputum and loss of voice. In view of the potentially threatened airway, a 4.5 cuffed endotracheal tube (ETT) was inserted through visible anterior tracheal rent in the emergency room, and subsequently, tracheostomy and feeding gastrostomy was done. The child was discharged 3 weeks later after decannulation and removal of feeding gastrostomy.

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