ID 112061
Title Alternative
Successful cricothyrotomy for emergency airway management : a case report
Author
Miyamoto, Ryota Tokushima Prefectural Central Hospital
Mori, Hayato Tokushima Prefectural Central Hospital
Fujiki, Kazuya Tokushima Prefectural Central Hospital
Fujimoto, Keisuke Tokushima Prefectural Central Hospital
Matsushita, Kenta Tokushima Prefectural Central Hospital
Matsumoto, Daishi Tokushima Prefectural Central Hospital
Nakao, Toshihiro Tokushima Prefectural Central Hospital KAKEN Search Researchers
Kawashita, Yoichiro Tokushima Prefectural Central Hospital
Chikakiyo, Motoya Tokushima Prefectural Central Hospital
Omura, Takeshi Tokushima Prefectural Central Hospital
Nakagawa, Yasushi Tokushima Prefectural Central Hospital KAKEN Search Researchers
Ikawa, Koichi Tokushima Prefectural Central Hospital
Hirose, Toshiyuki Tokushima Prefectural Central Hospital
Kuratate, Shinji Tokushima Prefectural Central Hospital
Yagi, Toshiyuki Tokushima Prefectural Central Hospital
Mimura, Seiji Tokushima Prefectural Central Hospital
Toda, Naoki Tokushima Prefectural Central Hospital
Hori, Yoji Tokushima Prefectural Central Hospital
Keywords
airway emergency
cricothyrotomy
rapid sequence intubation
cardiopulmonary arrest
Content Type
Journal Article
Description
A 60 year-old male was brought to our emergency department by ambulance due to sudden onset of dyspnea. On examination, he was in coma since his level of consciousness decreased during transport, blood pressure was 199/111mmHg, heart rate was100 beats per minute, respirations were 10 per minute, blood oxygen saturation level(SpO2)was100% via assisted ventilation with Bag-Valve-Mask, and stridor was heard on auscultation. Those findings indicated airway emergency and endotracheal intubation was required. However, attempts at intubation were unsuccessful due to restriction of mouth opening. Muscle relaxant was then given to perform rapid sequence intubation, which caused vomiting. Failure to ventilation and intubation resulted in cardiopulmonary arrest. Chest compression was started immediately and decision for cricothyrotomy was made. 10 minute after cricothyrotomy, he revived. Subsequently, systemic management including therapeutic normothermia was performed at intensive care unit, then he regained consciousness. He was discharged 1 month after admission.
Journal Title
Shikoku Acta Medica
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
73
Issue
5-6
Start Page
309
End Page
312
Sort Key
309
Published Date
2017-12-25
FullText File
language
jpn
TextVersion
Publisher
departments
University Hospital