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- Publisher
- de Gruyter
- Copyright
- © 2020 Cameron R. Smith et al., published by Sciendo
- eISSN
- 2502-0307
- DOI
- 10.2478/rjaic-2020-0003
- Publisher site
- See Article on Publisher Site
Abstract
AbstractPediatric laryngotracheal injuries from blunt force trauma are rare but can lead to significant morbidity and mortality. In pediatric patients with severe laryngotracheal disruption, extracorporeal membrane oxygenation has been used to improve oxygenation and ventilation until definitive repair can be performed. We describe the case of a 3-year-old girl with blunt neck trauma secondary to an all-terrain vehicle accident in which her neck was clotheslined against a fence, leading to a complete tracheal transection at the C7-T1 level. Emergent extracorporeal membrane oxygenation cannulation was initiated. We discuss the evaluation and management of tracheal injuries and the requisite multidisciplinary team approach. Pediatric patients with laryngotracheal trauma require definitive airway management, which should be performed by skilled personnel.
Journal
Romanian Journal of Anaesthesia and Intensive Care – de Gruyter
Published: Jul 1, 2020
Keywords: Extubation; extracorporeal membrane oxygenation; laryngeal trauma; pediatric; trachea