Rapid airway compromise following traumatic laceration of the facial artery

Morrissette, Michael P.; Chewning, Lee C.

doi:10.1016/0278-2391(90)90016-u

Cited by 12 publications

(7 citation statements)

References 2 publications

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“…52,57,58,111,[113][114][115][116][117][118][119][120] The literature also indicates that patients with severe maxillofacial injury can have airway obstruction and frequently need emergency tracheal intubation. [121][122][123][124][125][126][127][128] Other patients with severe cognitive impairment commonly have airway obstruction (26 -45%) and associated hypoxemia (15-55%). 8,12,129,130 These patients with severe cognitive impairment typically undergo emergency tracheal intubation.…”

Section: Introductionmentioning

confidence: 99%

Guidelines for Emergency Tracheal Intubation Immediately after Traumatic Injury

Dunham

Barraco

Clark

et al. 2003

The Journal of Trauma: Injury, Infection, and Critical Care

147

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Section: Introductionmentioning

confidence: 99%

Guidelines for Emergency Tracheal Intubation Immediately after Traumatic Injury

Dunham

Barraco

Clark

et al. 2003

The Journal of Trauma: Injury, Infection, and Critical Care

147

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“…The current ATLS guidelines indicate that resuscitation and acute transfusion are essential. Uncontrolled profuse bleeding of the facial vasculature, creating both haemodynamic instability and airway compromise, is rare; the incidence is approximately 1% [7] , [9] , [10] , [11] , [12] , [13] . The high-level vascularity of the face and the abundant midline anastomoses between the facial arteries can obscure the source of bleeding and delay haemorrhage control [7] .…”

Section: Discussionmentioning

confidence: 99%

“…The high vascularity of the face and the abundant midline anastomoses between the facial arteries can obscure the source of bleeding and delay haemorrhage control [7] . Approximately 51% of vascular malformations occur in the head-and-neck region; the male:female ratio is 1:1.5 [8] .…”

Section: Introductionmentioning

confidence: 99%

A massive haemorrhage developing during deciduous tooth extraction in a young child: A case report

Bocchialini

Ferrari

Burlini

2017

International Journal of Surgery Case Reports

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HighlightsVarious evidence-based guidelines for dental clinicians deal with the use of general anaesthesia when treating children.Management of acute haemorrhage can be difficult and the decision of how to manage a severe acute haemorrhage is influenced by many factors.we had identified the patient as a “fragile child’; our protocol dictated that she should be treated in the operating room.This meant that, when the emergency developed, we had everything that we needed to hand.

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“…A sucking wound mandates early airway control. Haemorrhage should be tamponaded, and the possibility of an expanding haematoma threatening the airway remembered 12–16 . Auscultation of the neck may detect early stridor and bruits indicative of occult vascular injuries.…”

Section: Discussionmentioning

confidence: 99%

Upper airway trauma

Little

1995

Emergency Medicine

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Twelve cases of injury to the upper airway due to external trauma seen over a seven year period in the emergency department are presented. Four injuries resulted from penetrating trauma and eight from blunt trauma. Active airway management was initially required in seven patients. Two patients died of severe neurological injury despite appropriate airway management. Surgical intervention was undertaken in five of the ten survivors, with good results. One patient was discharged with a tracheostomy. All patients presented with symptoms or signs of airway injury. However, airway injuries are uncommon, patients may present without signs or symptoms and these injuries may be overlooked, with potentially disastrous consequences. Airway trauma should be suspected in all cases of blunt or penetrating trauma to the head, neck or chest. Emphasis should be placed on control of the airway and judicious performance of diagnostic procedures, followed by surgical repair where indicated.

show abstract

Rapid airway compromise following traumatic laceration of the facial artery

Cited by 12 publications

References 2 publications

Guidelines for Emergency Tracheal Intubation Immediately after Traumatic Injury

Guidelines for Emergency Tracheal Intubation Immediately after Traumatic Injury

A massive haemorrhage developing during deciduous tooth extraction in a young child: A case report

Upper airway trauma

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