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  1. 医学部
  2. 学術雑誌論文

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/2000037
b1a6ec70-7c75-4135-b389-9211eb182bf7
名前 / ファイル ライセンス アクション
JMedCaseRep_11_121.pdf JMedCaseRep_11_121.pdf (892.9 KB)
Item type デフォルトアイテムタイプ(フル)fmu(1)
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

en Ono, Yuko

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Kunii, Miha

× Kunii, Miha

en Kunii, Miha

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Miura, Tomohiro

× Miura, Tomohiro

en Miura, Tomohiro

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Shinohara, Kazuaki

× Shinohara, Kazuaki

en Shinohara, Kazuaki

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権利情報
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
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.
出版者
出版者 BioMed Central
言語
言語 eng
書誌情報 en : Journal of medical case reports

巻 11, 号 1, p. 121, 発行日 2017-05-01
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
関連情報
識別子タイプ PMID
関連識別子 28460647
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
収録物識別子
収録物識別子タイプ EISSN
収録物識別子 1752-1947
主題
主題Scheme Other
主題 Emergency surgical airway
主題
主題Scheme Other
主題 Hypovolemic shock
主題
主題Scheme Other
主題 Penetrating neck injury
主題
主題Scheme Other
主題 Upper airway trauma
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