DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20200038

Cut throat gashes: emergency tracheostomy as a relief

Prem Nivas, Balaji Swaminathan, Ruta Shanmugam, Suji Govindarajan, Thulasi Doss

Abstract


Cut throat injury accounts for about 5 to 10 percent of all traumas. It is a life-threatening emergency condition. Cut throat injuries are challenging in terms of management as it necessitates close collaboration by otolaryngologists, anaesthetists, psychiatrists, speech therapists and general surgeons. Securing airway by emergency tracheostomy is always of prime concern to prevent impending complications such as haemorrhage, shock and asphyxia followed by closure of wound. This paper shares our experience with three patients who presented in emergency department with cut throat injuries of varying etiology who were treated diligently with a multidisciplinary approach. This paper is to emphasize the importance of securing airway by emergency tracheostomy under local anaesthesia.


Keywords


Cut throat injury, Tracheostomy, Neck zone, Cartilage injury

Full Text:

PDF

References


Bhattacharjee N, Arefin SM, Mazumder SM, Khan MK. Cut Throat Injury: Retrospective Study of 26 Cases. Bangladesh Med Res Council Bull. 1997;23:87-90.

Cicala RS, Kudsk KA, Butts A, Nguyen H, Fabian TC. Initial evaluation and management of upper airway injuries in trauma patients. J Clin Anesth. 1991;3:91-8.

Rao BK, Singh VK, Ray S, Mehra M. Airway management in trauma. Indian. J Crit Care Med. 2004;8:98-105.

Roon AJ, Christensen N. Evaluation and treatment of penetrating cervical injuries. J Trauma. 1979;19(6):391-7.

Miracle AC, Uzelac A. Imaging blunt and penetrating trauma to neck: Clinical relevance and management. Appl Radiol. 2016;45:14-9.

Ezeanoule BC. Management of the upper airway in severe cut throat injuries. Afr J Med Med Sci. 2001;30:233-5.

Eshiet A, Antiaue SG, Onoym IV,Edentekhe TA. Surgical airway problems and their management. The University of Calaban Teaching Hospital experience. Niger Postg Med J. 1979;4:15-8.

Prabhu M, Kulkarni M, Maddineni S. A novel method of airway management in a case of penetrating neck injury. Indian J Anaesthesia. 2016;60(7):509.

Varghese A. Penetrating Neck Injury: A Case Report and Review of Management. Indian J Surg. 2012;75(1):43-6.

Bhargava A, Gandhi B, Mahajan H. Anaesthetic management in cut throat injuries (A Report of Two Cases). Med J Armed Forces India. 1998;54(1):53-4.