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Airway management in laryngotracheal injuries from blunt neck trauma in children |
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| Authors: | Debnath Chatterjee Rita Agarwal Lalit Bajaj Sarena N. Teng Jeremy D. Prager |
| Affiliation: | 1. Department of Anesthesiology, Children's Hospital Colorado, University of Colorado School of Medicine, Aurora, CO, USA;2. Department of Anesthesiology, Lucile Packard Children's Hospital, Stanford University, Palo Alto, CA, USA;3. Department of Emergency Medicine, Children's Hospital Colorado, University of Colorado School of Medicine, Aurora, CO, USA;4. Department of Anesthesiology, Ochsner Hospital for Children, New Orleans, LA, USA;5. Department of Otolaryngology, Children's Hospital Colorado, University of Colorado School of Medicine, Aurora, CO, USA |
| Abstract: | Pediatric laryngotracheal injuries from blunt neck trauma are extremely rare, but can be potentially catastrophic. Early diagnosis and skillful airway management is critical in avoiding significant morbidity and mortality associated with these cases. We present a case of a patient who suffered a complete tracheal transection and cervical spine fracture following a clothesline injury to the anterior neck. A review of the mechanisms of injury, clinical presentation, initial airway management, and anesthetic considerations in laryngotracheal injuries from blunt neck trauma in children are presented. |
| Keywords: | pediatric laryngotracheal injuries blunt neck trauma tracheal transection laryngotracheal separation airway management |