Open AccessIs it safe to use frova airway intubating device during tracheal intubation in difficult airway patient with multiple and chest trauma?
Author(s) -
Waseem Hajjar,
Nourah Alsubaie,
Thamer Nouh,
Sami Alnassar
Publication year - 2016
Publication title -
saudi journal of anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.416
H-Index - 24
eISSN - 1658-354X
pISSN - 0975-3125
DOI - 10.4103/1658-354x.179121
Subject(s) - medicine , thoracotomy , subcutaneous emphysema , intubation , airway , anesthesia , surgery , pneumothorax , bronchoscopy , bronchus , chest injury , tracheal intubation , right main bronchus , lung , respiratory disease , blunt
Traumatic chest injury is one of the leading causes of death in motor vehicle accident (MVA). A complete tracheobronchial injury occurred in 1% of trauma cases and most of the cases died before arrival to the emergency department. We report a 37-year-old female involved in MVA presented to the emergency room (ER) with normal vital signs. Ten minutes later, her saturation dropped to 75%, which required ventilation; however, two attempts for endotracheal intubation failed. The third time frova airway intubating introducer used and succeeded. Immediately after tracheal intubation, the patient started to have extensive subcutaneous emphysema and severe hypoxia; chest X-ray showed right side tension pneumothorax which was not relieved by a chest tube insertion. Bronchoscopy confirmed total transection of the right main bronchus and lower tracheal laceration and injury. Emergency thoracotomy and repair of both trachea and the right main bronchus were successful.