Journal of Emergencies, Trauma, and Shock

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


Torsten Birkholz1, Stefanie Kröber1, Christian Knorr2, Albert Schiele1, Klaus Bumm3, Joachim Schmidt1 
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

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.


How to cite this article:
Birkholz T, Kröber S, Knorr C, Schiele A, Bumm K, Schmidt J. A retropharyngeal-mediastinal hematoma with supraglottic and tracheal obstruction: The role of multidisciplinary airway management.J Emerg Trauma Shock 2010;3:409-411


How to cite this URL:
Birkholz T, Kröber S, Knorr C, Schiele A, Bumm K, Schmidt J. A retropharyngeal-mediastinal hematoma with supraglottic and tracheal obstruction: The role of multidisciplinary airway management. J Emerg Trauma Shock [serial online] 2010 [cited 2019 Jun 20 ];3:409-411
Available from: http://www.onlinejets.org/article.asp?issn=0974-2700;year=2010;volume=3;issue=4;spage=409;epage=411;aulast=Birkholz;type=0