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Case Studies | Medicine | India | Volume 13 Issue 7, July 2024 | Rating: 4.6 / 10
Cut Throat Injuries: A Challenge for Airway and Anaesthetic Management - Case report of Three Cases
Dr. Aiman Pervez
Abstract: This case report discusses three instances of severe cut throat injuries presenting significant challenges for airway and anesthetic management. The cases involved one suicidal injury, one homicidal injury, and one accidental injury in a glass factory. Each case required prompt intervention to secure the airway, manage hemodynamic stability, and perform surgical repairs. Postoperative care included elective ventilation and psychological counseling, emphasizing the need for a multidisciplinary approach in managing such complex injuries. Tracheotomy was done to one adult male patient and for the other two patients? endotracheal tube (ETT) was introduced into the trachea through the wound. Blood, fluids transfused, induced with propofol and maintained with Isoflurane, oxygen and vecuronium. Closure of the oesophagus and tracheal wounds was performed. Shifted to ICU for elective ventilation. Discussion and Conclusion: Securing the airway should be the first priority if unstable or with oedema, may have to undergo cricothyroidotomy or urgent tracheotomy. Hemodynamic stabilisation to treat the Blood loss. Surgical repair is also a priority and to end without complications. Avoiding hypoxia and aspiration; maintaining adequate intravascular status and avoiding hemodynamic collapse; adequate ICU care, post operative counselling is necessary. These patients belonged to lower socioeconomic strata and with a lot of psycho - social problems which require proper counselling and follow up to avoid further similar injuries. Injuries to neck vary in aetiology, pattern and may pose initial management challenges in the casualty and for the anaesthesiologists in securing the airway and may be fatal if timely intervention is delayed. Injuries may be intentional or accidental, may be penetrating or non penetrating blunt trauma involving the soft tissues, cartilage, bones and neurovascular bundles or in combinations. Wound may be superficial or deep and the causes may be accidental (road traffic, industrial, domestic); suicidal or homicidal using different objects.
Keywords: Cut Throat injuries, Anesthetic challenges, Emergency surgery, Airway management, Injury to larynx
Edition: Volume 13 Issue 7, July 2024
Pages: 1387 - 1389