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Collegium antropologicum · Dec 2009
Case ReportsLife threatening complications after unsuccessful attempt of the guidewire dilating forceps tracheostomy in multi-trauma patient with cervical spine injury.
- Dubravka Bartolek, Nenad Somun, Franjo Bartolek, Kata Zdravcević-Sakić, Zoran Lajtman, Tihomir Banić, Gordana Cavrić, and Vesna Kovabić-Vicić.
- Department of Anesthesiology and Intensive Care Unit, University Clinic of Traumatology, Zagreb, Croatia. dubravka.bartolek1@zg.t-com.hr
- Coll Antropol. 2009 Dec 1; 33 (4): 1409-13.
AbstractPercutaneous tracheostomy (PCT) is a safe method under proper patient selection, increased technical experience and bronchoscopy- or ultrasound-guided procedure. Trauma patients with cervical spine fractures and spinal cord injury are at a high risk for respiratory failure and require a definitive airway followed by prolonged mechanical ventilation. We would like to present multiple, life- threatening complications after unsuccessful attempt of the guidewire dilating forceps tracheostomy (GWDF) in one trauma patient with a cervical spine injury. With this case report we would like to lay emphasis on the importance of continuously bronchoscopy- or ultrasound-guided PTC in trauma patients, especially with cervical spine injury, as the need to respect the steep-learning curve in its performance.
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