Clinical communicationTraumatic retropharyngeal hematoma—A cause of acute airway obstruction☆
References (8)
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Airway compromise as a result of retropharyngeal hematoma following cervical spine injury
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2021, ChestCitation Excerpt :For this patient, the mode of arrest may be hemorrhagic shock, which was supported by the POCUS signs of hypovolemia that included small left ventricular cavity and collapsible inferior vena cava, or because of respiratory arrest, which could explain the reason that ROSC was achieved soon after successful intubation. In fact, airway compromise due to mass effect has been reported in patients with TAA or RPH.4,5 Arriving at the correct diagnosis can be challenging.
A significant cervical spine fracture: Think of the airway
2012, Journal of Emergency MedicineCitation Excerpt :Similar to the management of the burn victim's airway, patients with prevertebral soft tissue swelling caused by significant C-Sp injury deserve strong consideration for definitive airway establishment as a preventive measure (2,3). A delay can exist between the patient's initial injury and the development of respiratory distress (4,5). Most cervical spine injuries do not result in prevertebral edema significant enough to produce airway obstruction; however, the emergency physician needs to be vigilant when it comes to unstable C-Sp injuries.
Diagnosis and management of upper airway obstruction due to lingual hematoma: Report of a case
2011, Journal of Oral and Maxillofacial SurgeryCitation Excerpt :There are multiple case reports in the literature outlining the various causes of lingual hematoma and its subsequent management.1-11 Management of these cases can range from simple observation to wound packing, leech therapy, embolization, or transoral or extraoral ligation of the offending arteries.1-12 There are numerous reports of lingual hematoma in the literature, with etiologies ranging from motor vehicle accidents, grand mal seizures, traumatic tracheal intubations in anticoagulated patients, and spontaneous causes in patients with inherited or acquired coagulopathies.5,6,8-11,13-15
Traumatic retropharyngeal hematoma: Case report
2007, Auris Nasus LarynxSpontaneous retropharyngeal hematoma: An unusual presentation of thoracic aortic dissection
2006, Journal of Emergency MedicineAn unusual presentation of stridor: Blunt pediatric laryngotracheal trauma
2002, Journal of Emergency Medicine
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Clinical Communications (Adults) is coordinated by Ron M. Walls, md, of Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.