,
Solomon Joseph Hassan,
Jibrila Ibrahim,
Inoh Mfon Ime,
Jafar Muhammad Maisallah,
Yikawe Semen Stephen
Introduction: Open or incised anterior neck injuries inflicted by sharp implements may be described as Cut-throat injuries (CTIs). The managing team is immediately confronted with airway management options, therefore, a close collaboration between the surgeon and the anesthetist is required to adopt a strategy that will guarantee a safe airway and ensure a successful outcome. In this article, we discuss the factors that led us to perform tracheostomy before repair while avoiding a rule of tracheostomy for all. Method: A prospective study was conducted at Federal Medical Centre, Gusau, between January 2019 -August 2023. Nine (9) patients presented with zone II cut-throat injuries and the choice of airway management was discussed between the surgeon and the anesthetist focused on symptoms of air obstruction and findings within the larynx that could lead to airway obstruction once repair was done. Result: There were nine patients (9) with the age range of 18-60 years. Tracheostomy rate was 55.6% (n=5). There is a positive correlation (+1) between tracheostomy and laryngeal edema. A subset of patients, 22.2% (n=2) was selected for repair without a tracheostomy. Conclusion: The choice of perfect airway management should result from constructive collaboration between the surgeon and the anesthetist. Tracheostomy should be considered in patients with asymptomatic laryngeal edema.
| Published in | International Journal of Anesthesia and Clinical Medicine (Volume 12, Issue 2) |
| DOI | 10.11648/j.ijacm.20241202.16 |
| Page(s) | 93-97 |
| 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 |
Laryngeal Edema, Cut-Throat Injury, Tracheostomy
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APA Style
Caleb, M., Hassan, S. J., Ibrahim, J., Ime, I. M., Maisallah, J. M., et al. (2024). Airway Issues in Management of Severe Cut-Throat Injuries. International Journal of Anesthesia and Clinical Medicine, 12(2), 93-97. https://doi.org/10.11648/j.ijacm.20241202.16
ACS Style
Caleb, M.; Hassan, S. J.; Ibrahim, J.; Ime, I. M.; Maisallah, J. M., et al. Airway Issues in Management of Severe Cut-Throat Injuries. Int. J. Anesth. Clin. Med. 2024, 12(2), 93-97. doi: 10.11648/j.ijacm.20241202.16
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Download@article{10.11648/j.ijacm.20241202.16,
author = {Manya Caleb and Solomon Joseph Hassan and Jibrila Ibrahim and Inoh Mfon Ime and Jafar Muhammad Maisallah and Yikawe Semen Stephen},
title = {Airway Issues in Management of Severe Cut-Throat Injuries
},
journal = {International Journal of Anesthesia and Clinical Medicine},
volume = {12},
number = {2},
pages = {93-97},
doi = {10.11648/j.ijacm.20241202.16},
url = {https://doi.org/10.11648/j.ijacm.20241202.16},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijacm.20241202.16},
abstract = {Introduction: Open or incised anterior neck injuries inflicted by sharp implements may be described as Cut-throat injuries (CTIs). The managing team is immediately confronted with airway management options, therefore, a close collaboration between the surgeon and the anesthetist is required to adopt a strategy that will guarantee a safe airway and ensure a successful outcome. In this article, we discuss the factors that led us to perform tracheostomy before repair while avoiding a rule of tracheostomy for all. Method: A prospective study was conducted at Federal Medical Centre, Gusau, between January 2019 -August 2023. Nine (9) patients presented with zone II cut-throat injuries and the choice of airway management was discussed between the surgeon and the anesthetist focused on symptoms of air obstruction and findings within the larynx that could lead to airway obstruction once repair was done. Result: There were nine patients (9) with the age range of 18-60 years. Tracheostomy rate was 55.6% (n=5). There is a positive correlation (+1) between tracheostomy and laryngeal edema. A subset of patients, 22.2% (n=2) was selected for repair without a tracheostomy. Conclusion: The choice of perfect airway management should result from constructive collaboration between the surgeon and the anesthetist. Tracheostomy should be considered in patients with asymptomatic laryngeal edema.
},
year = {2024}
}
TY - JOUR T1 - Airway Issues in Management of Severe Cut-Throat Injuries AU - Manya Caleb AU - Solomon Joseph Hassan AU - Jibrila Ibrahim AU - Inoh Mfon Ime AU - Jafar Muhammad Maisallah AU - Yikawe Semen Stephen Y1 - 2024/08/30 PY - 2024 N1 - https://doi.org/10.11648/j.ijacm.20241202.16 DO - 10.11648/j.ijacm.20241202.16 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 - 93 EP - 97 PB - Science Publishing Group SN - 2997-2698 UR - https://doi.org/10.11648/j.ijacm.20241202.16 AB - Introduction: Open or incised anterior neck injuries inflicted by sharp implements may be described as Cut-throat injuries (CTIs). The managing team is immediately confronted with airway management options, therefore, a close collaboration between the surgeon and the anesthetist is required to adopt a strategy that will guarantee a safe airway and ensure a successful outcome. In this article, we discuss the factors that led us to perform tracheostomy before repair while avoiding a rule of tracheostomy for all. Method: A prospective study was conducted at Federal Medical Centre, Gusau, between January 2019 -August 2023. Nine (9) patients presented with zone II cut-throat injuries and the choice of airway management was discussed between the surgeon and the anesthetist focused on symptoms of air obstruction and findings within the larynx that could lead to airway obstruction once repair was done. Result: There were nine patients (9) with the age range of 18-60 years. Tracheostomy rate was 55.6% (n=5). There is a positive correlation (+1) between tracheostomy and laryngeal edema. A subset of patients, 22.2% (n=2) was selected for repair without a tracheostomy. Conclusion: The choice of perfect airway management should result from constructive collaboration between the surgeon and the anesthetist. Tracheostomy should be considered in patients with asymptomatic laryngeal edema. VL - 12 IS - 2 ER -
Department of Ear, Nose and Throat Surgery, Federal Medical Centre, Gusau, Nigeria
Department of Ear, Nose and Throat Surgery, 063 Nigerian Air Force Hospital, Abuja, Nigeria
Department of Anaesthesia, Federal Medical Centre, Gusau, Nigeria
Department of Ear, Nose and Throat Surgery, University of Uyo Teaching Hospital, Akwa Ibom, Nigeria
Department of Ear, Nose and Throat Surgery, Federal Medical Centre, Gusau, Nigeria
Department of Ear, Nose and Throat Surgery, Air Force Hospital, Ikeja, Lagos, Nigeria
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