Anesthesia Management of Trachea Reconstruction in a Patient with Traumatic Neck Closed Tracheal Complete Rupture

Jiaqi Yang; Yang Chen; Yu Li

doi:doi:10.11648/j.ijacm.20231101.20

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Anesthesia Management of Trachea Reconstruction in a Patient with Traumatic Neck Closed Tracheal Complete Rupture

Jiaqi Yang, Yang Chen, Yu Li

Published in International Journal of Anesthesia and Clinical Medicine (Volume 11, Issue 1)

Received: 13 May 2023 Accepted: 1 June 2023 Published: 10 June 2023

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Abstract

Closed cervical tracheal rupture caused by trauma is a rare clinical emergency severe disease. We report the anesthesia experience of a 37-year-old male patient undergoing emergency tracheal reconstruction surgery due to a traumatic neck closed tracheal complete rupture. The patient was conscious and hoarse when entering the operation room, complained of dyspnea during inspirations, maxillofacial neck swelling, obvious subcutaneous crepitus of neck by palpation, and limited mouth opening. Mallampati grade III, neck movement was limited due to pain, and difficulty in intubation was considered in combination with the patient's neck, chest computed tomography (CT) and airway evaluation. Failure of intubation after the administration of muscle relaxants may result in rapid difficulty in establishing a surgical airway. Intubation under the guidance of awake bronchoscopy may fail to reach the distal tracheal end, and may lead to increased airway injury and inability to maintain ventilation. In order to ensure the safety of patient, it was decided to explore the neck incision under local anesthesia, find the broken end of the trachea, insert the endotracheal tube at the distal end, and then perform general anesthesia to control the airway. Intraoperative vital signs were stable of the patient. After the operation, the tracheostomy tube was changed and transferred the patient to ICU for further treatment. Patients with cervical tracheal rupture, establishing airway under local anesthesia with preserve the patient's spontaneous breathing combined sedation is a selection of security technology.

Published in	International Journal of Anesthesia and Clinical Medicine (Volume 11, Issue 1)
DOI	10.11648/j.ijacm.20231101.20
Page(s)	44-48
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Tracheal Rupture, Neck Closed Injury, Tracheal Reconstruction, Anesthesia Management

References

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APA Style

Jiaqi Yang, Yang Chen, Yu Li. (2023). Anesthesia Management of Trachea Reconstruction in a Patient with Traumatic Neck Closed Tracheal Complete Rupture. International Journal of Anesthesia and Clinical Medicine, 11(1), 44-48. https://doi.org/10.11648/j.ijacm.20231101.20

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ACS Style

Jiaqi Yang; Yang Chen; Yu Li. Anesthesia Management of Trachea Reconstruction in a Patient with Traumatic Neck Closed Tracheal Complete Rupture. Int. J. Anesth. Clin. Med. 2023, 11(1), 44-48. doi: 10.11648/j.ijacm.20231101.20

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AMA Style

Jiaqi Yang, Yang Chen, Yu Li. Anesthesia Management of Trachea Reconstruction in a Patient with Traumatic Neck Closed Tracheal Complete Rupture. Int J Anesth Clin Med. 2023;11(1):44-48. doi: 10.11648/j.ijacm.20231101.20

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@article{10.11648/j.ijacm.20231101.20,
  author = {Jiaqi Yang and Yang Chen and Yu Li},
  title = {Anesthesia Management of Trachea Reconstruction in a Patient with Traumatic Neck Closed Tracheal Complete Rupture},
  journal = {International Journal of Anesthesia and Clinical Medicine},
  volume = {11},
  number = {1},
  pages = {44-48},
  doi = {10.11648/j.ijacm.20231101.20},
  url = {https://doi.org/10.11648/j.ijacm.20231101.20},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijacm.20231101.20},
  abstract = {Closed cervical tracheal rupture caused by trauma is a rare clinical emergency severe disease. We report the anesthesia experience of a 37-year-old male patient undergoing emergency tracheal reconstruction surgery due to a traumatic neck closed tracheal complete rupture. The patient was conscious and hoarse when entering the operation room, complained of dyspnea during inspirations, maxillofacial neck swelling, obvious subcutaneous crepitus of neck by palpation, and limited mouth opening. Mallampati grade III, neck movement was limited due to pain, and difficulty in intubation was considered in combination with the patient's neck, chest computed tomography (CT) and airway evaluation. Failure of intubation after the administration of muscle relaxants may result in rapid difficulty in establishing a surgical airway. Intubation under the guidance of awake bronchoscopy may fail to reach the distal tracheal end, and may lead to increased airway injury and inability to maintain ventilation. In order to ensure the safety of patient, it was decided to explore the neck incision under local anesthesia, find the broken end of the trachea, insert the endotracheal tube at the distal end, and then perform general anesthesia to control the airway. Intraoperative vital signs were stable of the patient. After the operation, the tracheostomy tube was changed and transferred the patient to ICU for further treatment. Patients with cervical tracheal rupture, establishing airway under local anesthesia with preserve the patient's spontaneous breathing combined sedation is a selection of security technology.},
 year = {2023}
}

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TY  - JOUR
T1  - Anesthesia Management of Trachea Reconstruction in a Patient with Traumatic Neck Closed Tracheal Complete Rupture
AU  - Jiaqi Yang
AU  - Yang Chen
AU  - Yu Li
Y1  - 2023/06/10
PY  - 2023
N1  - https://doi.org/10.11648/j.ijacm.20231101.20
DO  - 10.11648/j.ijacm.20231101.20
T2  - International Journal of Anesthesia and Clinical Medicine
JF  - International Journal of Anesthesia and Clinical Medicine
JO  - International Journal of Anesthesia and Clinical Medicine
SP  - 44
EP  - 48
PB  - Science Publishing Group
SN  - 2997-2698
UR  - https://doi.org/10.11648/j.ijacm.20231101.20
AB  - Closed cervical tracheal rupture caused by trauma is a rare clinical emergency severe disease. We report the anesthesia experience of a 37-year-old male patient undergoing emergency tracheal reconstruction surgery due to a traumatic neck closed tracheal complete rupture. The patient was conscious and hoarse when entering the operation room, complained of dyspnea during inspirations, maxillofacial neck swelling, obvious subcutaneous crepitus of neck by palpation, and limited mouth opening. Mallampati grade III, neck movement was limited due to pain, and difficulty in intubation was considered in combination with the patient's neck, chest computed tomography (CT) and airway evaluation. Failure of intubation after the administration of muscle relaxants may result in rapid difficulty in establishing a surgical airway. Intubation under the guidance of awake bronchoscopy may fail to reach the distal tracheal end, and may lead to increased airway injury and inability to maintain ventilation. In order to ensure the safety of patient, it was decided to explore the neck incision under local anesthesia, find the broken end of the trachea, insert the endotracheal tube at the distal end, and then perform general anesthesia to control the airway. Intraoperative vital signs were stable of the patient. After the operation, the tracheostomy tube was changed and transferred the patient to ICU for further treatment. Patients with cervical tracheal rupture, establishing airway under local anesthesia with preserve the patient's spontaneous breathing combined sedation is a selection of security technology.
VL  - 11
IS  - 1
ER  -

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Author Information

Jiaqi Yang

Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, China
Yang Chen

Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, China
Yu Li

Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, China

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Plain Text BibTeX RIS

APA Style

Jiaqi Yang, Yang Chen, Yu Li. (2023). Anesthesia Management of Trachea Reconstruction in a Patient with Traumatic Neck Closed Tracheal Complete Rupture. International Journal of Anesthesia and Clinical Medicine, 11(1), 44-48. https://doi.org/10.11648/j.ijacm.20231101.20

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ACS Style

Jiaqi Yang; Yang Chen; Yu Li. Anesthesia Management of Trachea Reconstruction in a Patient with Traumatic Neck Closed Tracheal Complete Rupture. Int. J. Anesth. Clin. Med. 2023, 11(1), 44-48. doi: 10.11648/j.ijacm.20231101.20

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AMA Style

Jiaqi Yang, Yang Chen, Yu Li. Anesthesia Management of Trachea Reconstruction in a Patient with Traumatic Neck Closed Tracheal Complete Rupture. Int J Anesth Clin Med. 2023;11(1):44-48. doi: 10.11648/j.ijacm.20231101.20

Copy | Download

@article{10.11648/j.ijacm.20231101.20,
  author = {Jiaqi Yang and Yang Chen and Yu Li},
  title = {Anesthesia Management of Trachea Reconstruction in a Patient with Traumatic Neck Closed Tracheal Complete Rupture},
  journal = {International Journal of Anesthesia and Clinical Medicine},
  volume = {11},
  number = {1},
  pages = {44-48},
  doi = {10.11648/j.ijacm.20231101.20},
  url = {https://doi.org/10.11648/j.ijacm.20231101.20},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijacm.20231101.20},
  abstract = {Closed cervical tracheal rupture caused by trauma is a rare clinical emergency severe disease. We report the anesthesia experience of a 37-year-old male patient undergoing emergency tracheal reconstruction surgery due to a traumatic neck closed tracheal complete rupture. The patient was conscious and hoarse when entering the operation room, complained of dyspnea during inspirations, maxillofacial neck swelling, obvious subcutaneous crepitus of neck by palpation, and limited mouth opening. Mallampati grade III, neck movement was limited due to pain, and difficulty in intubation was considered in combination with the patient's neck, chest computed tomography (CT) and airway evaluation. Failure of intubation after the administration of muscle relaxants may result in rapid difficulty in establishing a surgical airway. Intubation under the guidance of awake bronchoscopy may fail to reach the distal tracheal end, and may lead to increased airway injury and inability to maintain ventilation. In order to ensure the safety of patient, it was decided to explore the neck incision under local anesthesia, find the broken end of the trachea, insert the endotracheal tube at the distal end, and then perform general anesthesia to control the airway. Intraoperative vital signs were stable of the patient. After the operation, the tracheostomy tube was changed and transferred the patient to ICU for further treatment. Patients with cervical tracheal rupture, establishing airway under local anesthesia with preserve the patient's spontaneous breathing combined sedation is a selection of security technology.},
 year = {2023}
}

Copy | Download

TY  - JOUR
T1  - Anesthesia Management of Trachea Reconstruction in a Patient with Traumatic Neck Closed Tracheal Complete Rupture
AU  - Jiaqi Yang
AU  - Yang Chen
AU  - Yu Li
Y1  - 2023/06/10
PY  - 2023
N1  - https://doi.org/10.11648/j.ijacm.20231101.20
DO  - 10.11648/j.ijacm.20231101.20
T2  - International Journal of Anesthesia and Clinical Medicine
JF  - International Journal of Anesthesia and Clinical Medicine
JO  - International Journal of Anesthesia and Clinical Medicine
SP  - 44
EP  - 48
PB  - Science Publishing Group
SN  - 2997-2698
UR  - https://doi.org/10.11648/j.ijacm.20231101.20
AB  - Closed cervical tracheal rupture caused by trauma is a rare clinical emergency severe disease. We report the anesthesia experience of a 37-year-old male patient undergoing emergency tracheal reconstruction surgery due to a traumatic neck closed tracheal complete rupture. The patient was conscious and hoarse when entering the operation room, complained of dyspnea during inspirations, maxillofacial neck swelling, obvious subcutaneous crepitus of neck by palpation, and limited mouth opening. Mallampati grade III, neck movement was limited due to pain, and difficulty in intubation was considered in combination with the patient's neck, chest computed tomography (CT) and airway evaluation. Failure of intubation after the administration of muscle relaxants may result in rapid difficulty in establishing a surgical airway. Intubation under the guidance of awake bronchoscopy may fail to reach the distal tracheal end, and may lead to increased airway injury and inability to maintain ventilation. In order to ensure the safety of patient, it was decided to explore the neck incision under local anesthesia, find the broken end of the trachea, insert the endotracheal tube at the distal end, and then perform general anesthesia to control the airway. Intraoperative vital signs were stable of the patient. After the operation, the tracheostomy tube was changed and transferred the patient to ICU for further treatment. Patients with cervical tracheal rupture, establishing airway under local anesthesia with preserve the patient's spontaneous breathing combined sedation is a selection of security technology.
VL  - 11
IS  - 1
ER  -

Copy | Download