Cases reported "Airway Obstruction"

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1/23. life-threatening airway obstruction caused by a retropharyngeal haematoma.

    We present the case of a 68-year-old woman who had a large cervicomediastinal haematoma that caused life-threatening airway obstruction. Retropharyngeal haematoma may occur in any age group and following a variety of causes. Retropharyngeal haematomas must be considered as a cause of airway obstruction following common injuries such as blunt cervical trauma or internal jugular vein cannulation. A high index of suspicion and early lateral neck X-ray is essential for safe management of this rare but potentially life-threatening injury.
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keywords = haematoma
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2/23. Retropharyngeal haematoma causing acute airway obstruction--first presentation of metastatic carcinoma.

    A case of acute airway obstruction due to an acute retropharyngeal haematoma secondary to indirect trauma as a first presentation of metastatic prostatic adenocarcinoma is described.
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ranking = 0.71428571428571
keywords = haematoma
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3/23. Lingual haematoma: yet another unusual cause of upper airway obstruction.

    An episode of acute upper airway obstruction was caused by a lingual haematoma, when a patient with end stage renal failure suffered a hypocalcaemic fit and bit his tongue. The large haematoma and profuse bleeding caused the patient to obstruct and become hypoxic, and rendered laryngoscopy and intubation impossible, requiring an urgent tracheostomy to secure the airway.
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ranking = 0.85714285714286
keywords = haematoma
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4/23. Retropharyngeal haematoma causing airway obstruction: a multidisciplinary challenge.

    A case of post-traumatic retropharyngeal haematoma causing airway obstruction in an elderly man on anticoagulant therapy is described. The importance of managing the airway, cervical spine and haemostatic problem with the help of a multidisciplinary team is discussed.
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ranking = 0.71428571428571
keywords = haematoma
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5/23. Prevertebral haematoma after thrombolysis: an unusual cause of airway obstruction.

    A case report of prevertebral haematoma causing airway obstruction following thrombolytic therapy for acute myocardial infarction is presented. The management options for airway obstruction, after thrombolytic therapy, are discussed.
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ranking = 0.71428571428571
keywords = haematoma
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6/23. Emergency airway management in a case of lingual haematoma.

    A previously unreported cause of acute tongue swelling is presented and the airway issues discussed. Cases with different aetiology have been sporadically published however the consequent, and sometimes fatal, airway obstructions have been dealt with somewhat variably. The aetiogy of acute tongue swelling and modern emergency airway algorithms are discussed with reference to the literature.
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ranking = 0.57142857142857
keywords = haematoma
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7/23. Delayed upper airway obstruction following a retropharyngeal haematoma after minor head trauma.

    The development of a retropharyngeal haematoma may occur rarely after major head, face or cervical spine injuries, and it is even less frequent following minor trauma. As these patients are commonly not intubated, a life-threatening upper airway obstruction may occur. We report the case of a man who experienced a late retropharyngeal haematoma with delayed, progressive upper airway obstruction after a minor frontal wound. After an emergency intubation a nuclear magnetic resonance highlighted the magnitude of the bleeding into the retropharynx accounting for the slow onset of the symptoms. Predisposing factors such as antithrombotic therapies and vascular lesions may enhance the risk of occurrence even after minor trauma. Hypotheses on how to identify this potentially fatal complication earlier are reported.
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ranking = 0.85714285714286
keywords = haematoma
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8/23. Haematoma of the floor of the mouth following implant placement.

    Placement of implants in the anterior mandibular region is generally regarded as a routine, safe procedure. This case report describes an extensive haematoma in the floor of the mouth, following such a procedure, which rapidly became life-threatening, requiring an emergency tracheostomy to establish a surgical airway. The anatomic, radiographic and surgical aspects to the problem are discussed. Finally, when undertaking such procedures it is advisable to perform them reasonably close to a hospital where such a complication can be effectively and promptly handled by suitably trained persons.
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ranking = 0.14285714285714
keywords = haematoma
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9/23. Critical airway compromise caused by neck haematoma.

    The recognition and treatment of the compromised airway needs to be quick and systematic. airway obstruction, can rapidly progresses to anoxia irreversible cerebral damage and death, within four to five minutes. Management of the unstable airway has the highest treatment priority regardless of the presence of other medical conditions. We report the clinical course of minor anterior neck injury in two elderly patients taking oral anticoagulants. Both patients developed sudden airway obstruction, due to circumferential neck haematoma; six to eight hours post injury. The rapid neck swelling caused upper airway compression and rapid desaturation. Both patients required urgent orotracheal intubation in the emergency room. patients with a history of blunt neck trauma may initially appear stable, then quickly decompensate and require an emergency airway.
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ranking = 0.71428571428571
keywords = haematoma
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10/23. neck haematoma and airway obstruction in a patient with goitre: complication of internal jugular vein cannulation.

    Attempted jugular vein cannulation in a patient with a discrete goitre resulted in a rapid growing haematoma and airway obstruction. This life-threatening complication is rare, and is usually related to two conditions: pre-existing coagulopathy and/or arterial puncture by a large bore cannula or vessel dilator. None of these was present in this patient. Investigations revealed a retrosternal goitre causing tracheal compression and major changes in the calibre and the anatomical relationships of neck vessels. Possible origin and mechanism for the sudden haematoma are discussed, as well as the airway management. This case clearly illustrates how internal jugular vein cannulation using the traditional blind technique, guided by external landmarks, can be extremely hazardous in patients with distorted anatomy of the neck.
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ranking = 0.85714285714286
keywords = haematoma
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