A RETROPHARYNGEAL-MEDIASTINAL HEMATOMA WITH SUPRAGLOTTIC AND TRACHEAL OBSTRUCTION: THE ROLE OF MULTIDISCIPLINARY AIRWAY MANAGEMENT

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

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

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A 77-year-old man suffered hypoxemic cardiac arrest by supraglottic and Digital Mixers 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 Resistance Bands 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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