医学
枪伤
外科
气道
体外膜肺氧合
呼吸窘迫
麻醉
急诊科
急性呼吸窘迫
气道阻塞
肺
精神科
内科学
作者
Sahil Dayal,Patrick M. Dugom,Alexandra Kharazi,Mark D. Iannettoni,Carlos Anciano,Aundrea L. Oliver,James Speicher
标识
DOI:10.1016/j.athoracsur.2021.08.076
摘要
A male patient presented with a gunshot wound superior to his left scapula and difficulty breathing. En route to the emergency department, he rapidly became unresponsive, culminating in a cricothyroidotomy by paramedics. Oxygen saturation was 70% on arrival, and a tracheobronchial injury was suspected. In the operating room, a complete transection of the mid trachea was found and repaired. Postoperatively, the patient had acute respiratory distress syndrome. He was placed on extracorporeal membrane oxygenation and was eventually decannulated on postoperative day 12. The need for immediate identification of airway inadequacy, despite appropriate interventions, is underscored by this case report.
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