JOURNAL ARTICLE

Airway Management of Near-Complete Tracheal Transection by Through-the-Wound Intubation: A Case Report

Yuel-Kai Jean, Paul Potnuru, Christian Diez
A&A Practice 2018 December 1, 11 (11): 312-314
29894346
We present an approach to airway management in a patient with machete injuries culminating in near-complete cricotracheal transection, in addition to a gunshot wound to the neck. Initial airway was established by direct intubation through the cricotracheal wound. Once the airway was secured, a bronchoscopy-guided orotracheal intubation was performed with simultaneous retraction of the cricotracheal airway to optimize the surgical field. This case offers insight into a rarely performed approach to airway management. Furthermore, our case report demonstrates that, in select airway injuries, performing through-the-wound intubation engenders a multitude of benefits.

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