Mechanical airway obstruction secondary to retropharyngeal haematoma

O'Donnell, J J; Birkinshaw, R; Harte, B. H.

doi:10.1097/00063110-199709000-00010

Cited by 26 publications

(15 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Its etiologic factors include anticoagulation or bleeding disorder, tumor, ruptured aneurysm, infection, and major cervical injury [2][3][4][5][6]. It is sometimes associated with internal jugular venous cannulation, arteriography, carotid sinus massage, or hyperextension injury, and also occurs spontaneously [1][2][3][4][5].…”

Section: Discussionmentioning

confidence: 99%

“…The formation of retropharyngeal hematoma usually results from tearing of the longus colli muscles on the anterior wall of the cervical vertebral bodies, damage of the anterior ligament, and rupture of the anterior muscular and spinal branches of the vertebral arteries that cover the anterior aspect of the vertebral column [2]. Taking all things into consideration, the external forces that strongly hyperextend the cervical spine may lead to bruising and laceration of the soft tissues of the retropharyngeal space, tearing of vessels, and development of hematoma [1,[3][4][5].…”

Section: Discussionmentioning

confidence: 99%

“…After keeping the upper airway open, two treatments are available: drainage [1,[5][6][7] and observation [2,[4][5][6][7]. In cases of rapid expansion or bacterial infection of retropharyngeal hematoma, surgical drainage may be emergently needed to relieve the trachea from compression.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Acute airway obstruction secondary to retropharyngeal hematoma

Shiratori

Hara

Ando

2003

Journal of Anesthesia

View full text Add to dashboard Cite

tient without a surgeon's assistance. Tracheal intubation prior to transport was desired. However, the physician made an optimistic prediction that the patient would not choke during transport because he was not stridorous at that time. He was transported to Iida Municipal Hospital by ambulance. During transport, he felt dyspneic in the supine position and was placed in the sitting position with 5 l/min of oxygen.About 1 h later the ambulance arrived and a surgeon examined the patient. Physical examination revealed the patient had dyspnea but was making an effort to breathe deeply in the sitting position. Respiratory rate was about 20-25 breaths per minute. His neck was short and thick with no palpable mass. There was no area of ecchymosis on his posterior neck. SpO 2 was 95%-96% on 5 l/min of oxygen. Approximately 30 min after the patient's arrival, the surgeon decided to carry out CT to reevaluate the size of the hematoma before operation. During the CT scan, dyspnea developed suddenly and the patient became tachypneic. The surgeon tried tracheal intubation over and over again with an inside diameter (I.D.) 8.0-mm tracheal tube, but was unsuccessful. The surgeon gave diazepam 10 mg intravenously to the patient to sedate him for easy tracheal intubation. Then the patient became cyanosed and the SpO 2 fell below 85%. The surgeon called an anesthesiologist urgently for assistance of airway management.The anesthesiologist attempted to intubate with an I.D. 7.5-mm tracheal tube, but was also unsuccessful. Then the anesthesiologist reattempted, directing the surgeon to prepare fiberoptic intubation and emergent tracheostomy. The anesthesiologist successfully intubated blindly with an I.D. 6.0-mm tracheal tube. The patient was quickly relieved from dyspnea with no resistance to breathing. CT scan revealed no further extension of retropharyngeal hematoma and showed that the tracheal tube, which was fixed at a right oral angle at a depth of 26 cm from its end, was placed about 5.5 cm proximal from tracheal bifurcation and the most

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Acute airway obstruction secondary to retropharyngeal hematoma

Shiratori

Hara

Ando

2003

Journal of Anesthesia

View full text Add to dashboard Cite

show abstract

“…Eine zügige Tracheotomie wird von vielen Autoren befürwortet, wobei die endotracheale Intubation aufgrund des potenziellen Perforationsrisikos des Hämatoms kontrovers diskutiert wird. Im geschilderten Fall wurde zunächst eine fiberoptische Intubation und zeitverzögert die offene chirurgische Tracheotomie durchgeführt [12,14].…”

Section: Diskussionunclassified

“…Kompression der Weichteile und der Halsgefäße kann über eine Reizung des N. vagus zu persistierenden Kreislaufproblemen führen, die weitere interventionelle Behandlungen notwendig macht [8,14,16].…”

Section: Diskussionunclassified

Severe upper airway obstruction due to retropharyngeal haematoma formation following cervical trauma

Haarmann

Budihardja

Mücke

et al. 2007

Mund Kiefer GesichtsChir

View full text Add to dashboard Cite

Mechanical airway obstruction secondary to retropharyngeal bleeding is rare. In most cases such a complication is described after head and neck trauma. Complicating factors include anticoagulant therapy, tumour, aneurysm, infection or major cervical spine injury. A precise initial diagnosis is necessary to avoid a life-threatening situation. Lateral X-ray and computed tomography is essential for safe management.Treatment depends upon size of the haematoma as well as the clinical course of the patient. Smaller haematomas may be observed. Lager haematomas and those that fail to reabsorb should undergo drainage.

show abstract

Histopathology of Selected Trauma

Dettmeyer¹

2018

Forensic Histopathology

View full text Add to dashboard Cite

Mechanical airway obstruction secondary to retropharyngeal haematoma

Cited by 26 publications

References 0 publications

Acute airway obstruction secondary to retropharyngeal hematoma

Acute airway obstruction secondary to retropharyngeal hematoma

Severe upper airway obstruction due to retropharyngeal haematoma formation following cervical trauma

Histopathology of Selected Trauma

Contact Info

Product

Resources

About