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Cannot ventilate, cannot intubate situation after penetration of the tongue root through to the epipharynx by a surfboard: a case report
https://fmu.repo.nii.ac.jp/records/2000037
https://fmu.repo.nii.ac.jp/records/2000037b1a6ec70-7c75-4135-b389-9211eb182bf7
名前 / ファイル | ライセンス | アクション |
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Item type | デフォルトアイテムタイプ(フル)fmu(1) | |||||||||||||
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公開日 | 2017-05-18 | |||||||||||||
タイトル | ||||||||||||||
タイトル | Cannot ventilate, cannot intubate situation after penetration of the tongue root through to the epipharynx by a surfboard: a case report | |||||||||||||
言語 | en | |||||||||||||
作成者 |
Ono, Yuko
× Ono, Yuko
× Kunii, Miha
× Miura, Tomohiro
× Shinohara, Kazuaki
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権利情報 | ||||||||||||||
言語 | en | |||||||||||||
権利情報Resource | http://creativecommons.org/licenses/by/4.0/ | |||||||||||||
権利情報 | © The Author(s). 2017 This article is distributed under the terms of the Creative Commons Attribution 4.0 International License | |||||||||||||
主題 | ||||||||||||||
言語 | en | |||||||||||||
主題Scheme | Other | |||||||||||||
主題 | Emergency surgical airway | |||||||||||||
主題 | ||||||||||||||
言語 | en | |||||||||||||
主題Scheme | Other | |||||||||||||
主題 | Hypovolemic shock | |||||||||||||
主題 | ||||||||||||||
言語 | en | |||||||||||||
主題Scheme | Other | |||||||||||||
主題 | Penetrating neck injury | |||||||||||||
主題 | ||||||||||||||
言語 | en | |||||||||||||
主題Scheme | Other | |||||||||||||
主題 | Upper airway trauma | |||||||||||||
内容記述 | ||||||||||||||
内容記述タイプ | Abstract | |||||||||||||
内容記述 | BACKGROUND: Surfing is an increasingly popular activity and surfing-related injuries have increased accordingly. However, to the best of our knowledge, there are no reports of penetrating upper airway injuries in surfers. We present a "cannot ventilate, cannot intubate" situation following penetrating neck injury by a surfboard fin. CASE PRESENTATION: A previously healthy 29-year-old Japanese man was swept off his board by a large wave and his left mandible, tongue root, and right epipharynx were penetrated by the surfboard fin. He presented with severe hypovolemic shock because of copious bleeding from his mouth. Direct laryngoscopy failed, as did manual ventilation, because of the exacerbated upper airway bleeding and distorted upper airway anatomy. Open cricothyrotomy was immediately performed, followed by surgical exploration, which revealed extensive ablation of his tongue root and laceration of his lingual artery. After definitive hemostasis and intensive care, he returned home with no sequelae. CONCLUSIONS: The long, semi-sharp surfboard fin created both extensive crushing upper airway lesions and a sharp vascular injury, resulting in a difficult airway. This case illustrates that surfing injuries can prompt a life-threatening airway emergency and serves as a caution for both surfers and health care professionals. | |||||||||||||
言語 | en | |||||||||||||
出版者 | ||||||||||||||
出版者 | BioMed Central | |||||||||||||
言語 | en | |||||||||||||
言語 | ||||||||||||||
言語 | eng | |||||||||||||
資源タイプ | ||||||||||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||||||||||
資源タイプ | journal article | |||||||||||||
出版タイプ | ||||||||||||||
出版タイプ | VoR | |||||||||||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||||||||||
関連情報 | ||||||||||||||
関連タイプ | isIdenticalTo | |||||||||||||
識別子タイプ | DOI | |||||||||||||
関連識別子 | http://doi.org/10.1186/s13256-017-1284-5 | |||||||||||||
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識別子タイプ | PMID | |||||||||||||
関連識別子 | 28460647 | |||||||||||||
収録物識別子 | ||||||||||||||
収録物識別子タイプ | EISSN | |||||||||||||
収録物識別子 | 1752-1947 | |||||||||||||
書誌情報 |
en : Journal of medical case reports 巻 11, 号 1, p. 121, 発行日 2017-05-01 |