Anesthetic Management of Jael Syndrome With Impacted Blade in Close Proximity to the Internal Carotid Artery: A Case Report. A A Pract 2019 May 15;12(10):369-371
Date
12/14/2018Pubmed ID
30543541DOI
10.1213/XAA.0000000000000932Abstract
A patient presented with a stab injury caused by a knife penetrating the orbital floor and maxillary sinus along the skull base with the tip situated adjacent to the left internal carotid artery. A flexible fiberoptic bronchoscope loaded with an endotracheal tube was initially positioned superior to the vocal cords and advanced into the trachea immediately following induction. The blade was removed after occluding endovascular balloons were positioned distal and proximal to the potential internal carotid artery injury site. Therefore, contralateral nasal fiberoptic intubation might be safely performed in patients with unilateral maxillofacial trauma, no intracranial penetration, and minimal bleeding.
Author List
Gluncic V, Lukić A, Hanko E, Lynch JAuthor
Eva Hanko MD Assistant Professor in the Anesthesiology department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdolescentBronchoscopy
Carotid Artery Injuries
Carotid Artery, Internal
Humans
Intubation, Intratracheal
Male
Treatment Outcome
Wounds, Stab
