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Airway Management of Near-Complete Tracheal Transection by Through-the-Wound Intubation

A Case Report

Jean, Yuel-Kai, DO*; Potnuru, Paul, MD*; Diez, Christian, MD, MBA

doi: 10.1213/XAA.0000000000000816
Case Reports

We present an approach to airway management in a patient with machete injuries culminating in near-complete cricotracheal transection, in addition to a gunshot wound to the neck. Initial airway was established by direct intubation through the cricotracheal wound. Once the airway was secured, a bronchoscopy-guided orotracheal intubation was performed with simultaneous retraction of the cricotracheal airway to optimize the surgical field. This case offers insight into a rarely performed approach to airway management. Furthermore, our case report demonstrates that, in select airway injuries, performing through-the-wound intubation engenders a multitude of benefits.

From the *Department of Anesthesiology, Jackson Memorial Hospital, University of Miami Miller School of Medicine, Miami, Florida

Department of Anesthesiology, Perioperative Medicine, and Pain Management, University of Miami Miller School of Medicine, Ryder Trauma Center, Jackson Memorial Hospital, Miami, Florida.

Accepted for publication May 8, 2018.

Funding: None.

The authors declare no conflicts of interest.

Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal’s website.

Address correspondence to Yuel-Kai Jean, DO, Department of Anesthesiology, Jackson Memorial Hospital, 1611 NW 12th Ave, Room SW303, Miami, FL 33136. Address e-mail to yuelkai.jean@jhsmiami.org.

© 2018 International Anesthesia Research Society
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