PMID: 9426999Jan 14, 1998Paper

Mechanical airway obstruction secondary to retropharyngeal haematoma

European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine
J J O'DonnellB Harte

Abstract

Mechanical airway obstruction secondary to retropharyngeal haematoma is a life-threatening emergency and should be anticipated in all cervical spine injure patients regardless of the severity of trauma. Most retropharyngeal haematomas described in the literature have involved complicating factors such as anticoagulant therapy, tumour, aneurysm, infection or major cervical spine injury. Several authors have however described haematomas causing airway compromise with minor hyperextension injuries. We describe the case of a 19-year-old male who was involved in a motorcycle accident. He sustained an atlanto-occipital fracture-dislocation and a very large retropharyngeal haematoma which resulted in airway obstruction and a subsequent difficult intubation. We outline the normal anatomy of the retropharyngeal space, the pathogenesis of retropharyngeal haematomas, and outline techniques of intubation available.

Citations

Nov 9, 2007·Mund-, Kiefer- und Gesichtschirurgie : MKG·Stephan HaarmannKlaus Dietrich Wolff
Sep 5, 2001·Anaesthesia·R G Davies
Mar 26, 2009·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Kevin EnrightAlasdair Gray
Aug 17, 2010·Southern Medical Journal·Joshua J Wind, Joshua M Ammerman
Nov 11, 2010·Journal of Emergencies, Trauma, and Shock·Torsten BirkholzJoachim Schmidt
Sep 15, 1998·Free Radical Research·N Hogg, B Kalyanaraman
Aug 13, 2013·The Spine Journal : Official Journal of the North American Spine Society·Kadir KotilKaya Kilic
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