Journal of Emergencies, Trauma, and Shock
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CASE REPORT
Year : 2010  |  Volume : 3  |  Issue : 4  |  Page : 409-411

A retropharyngeal-mediastinal hematoma with supraglottic and tracheal obstruction: The role of multidisciplinary airway management


1 Department of Anesthesiology, University Hospital Erlangen, Krankenhausstr. 12, D-91054, Erlangen, Germany
2 Department of Surgery, University Hospital Erlangen, Krankenhausstr. 12, D-91054, Erlangen, Germany
3 Department of Otorhinolaryngology, University Hospital Erlangen, Krankenhausstr. 12, D-91054, Erlangen, Germany

Correspondence Address:
Torsten Birkholz
Department of Anesthesiology, University Hospital Erlangen, Krankenhausstr. 12, D-91054, Erlangen
Germany
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-2700.70776

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A 77-year-old man suffered hypoxemic cardiac arrest by supraglottic and tracheal airway obstruction in the emergency department. A previously unknown cervical fracture had caused a traumatic retropharyngeal-mediastinal hematoma. A lifesaving surgical emergency tracheostomy succeeded. Supraglottic and tracheal obstruction by a retropharyngeal-mediastinal hematoma with successful resuscitation via emergency tracheostomy after hypoxemic cardiac arrest has never been reported in a context of trauma. This clinically demanding case outlines the need for multidisciplinary airway management systems with continuous training and well-implemented guidelines. Only multidisciplinary staff preparedness and readily available equipments for the unanticipated difficult airway solved the catastrophic clinical situation.


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