Document Detail

Fat necks: modification of a standard surgical airway protocol in the pre-hospital environmental.
MedLine Citation:
PMID:  10203405     Owner:  NLM     Status:  MEDLINE    
We report two cases of trauma where a surgical airway was required. In both cases soft tissue swelling of the neck made modification of the Advanced Trauma Life Support (ATLS) airway guidelines necessary. A gum elastic bougie was used to guide a standard endotracheal tube into a cricothyroidotomy incision and secure the airway. Slight departure from standard techniques may be required in difficult circumstances to achieve a definitive airway.
A Morris; D Lockey; T Coats
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Resuscitation     Volume:  35     ISSN:  0300-9572     ISO Abbreviation:  Resuscitation     Publication Date:  1997 Nov 
Date Detail:
Created Date:  1999-04-27     Completed Date:  1999-04-27     Revised Date:  2009-08-25    
Medline Journal Info:
Nlm Unique ID:  0332173     Medline TA:  Resuscitation     Country:  IRELAND    
Other Details:
Languages:  eng     Pagination:  253-4     Citation Subset:  IM    
Helicopter Emergency Medical Service, Royal London Hospital, UK.
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MeSH Terms
Accidents, Traffic
Airway Obstruction / therapy*
Cricoid Cartilage / surgery
Emergency Medical Services
Equipment Design
Intubation, Intratracheal / instrumentation,  methods*
Life Support Care
Multiple Trauma
Neck / pathology*
Respiration, Artificial
Thyroid Cartilage / surgery
Tracheostomy / instrumentation

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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