Life Threatening Complications after Unsaccesful Attempt of the Guidewire Dilating Forceps Tracheostomy in Multi-trauma Patient with Cervical Spine Injury (CROSBI ID 155848)
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Podaci o odgovornosti
Bartolek, Dubravka ; Somun, Nenad ; Bartolek, Franjo ; Zdravčević-Šakić, Kata ; Lajtman, Zoran ; Banić, Tihomir ; Cavrić, Gordana ; Kovačić Vicić, Vesna
engleski
Life Threatening Complications after Unsaccesful Attempt of the Guidewire Dilating Forceps Tracheostomy in Multi-trauma Patient with Cervical Spine Injury
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.
percutaneous tracheostomy; cervical spine trauma; complcations; critical care
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Podaci o izdanju
Povezanost rada
Kliničke medicinske znanosti