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福島県立医科大学学術成果リポジトリ = Fukushima Medical University Repository >
A 医学部 = School of Medicine >
a10 学術雑誌論文等 = Journal Article >
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http://ir.fmu.ac.jp/dspace/handle/123456789/578
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| タイトル: | "Cannot ventilate, cannot intubate" situation after penetration of the tongue root through to the epipharynx by a surfboard: a case report |
| 著者: | Ono, Yuko
Kunii, Miha
Miura, Tomohiro
Shinohara, Kazuaki |
| 学内所属: | 救急医療学講座
耳鼻咽喉科学講座 |
| 誌名/書名: | Journal of medical case reports |
| 巻: | 11 |
| 号: | 1 |
| 開始ページ: | 121 |
| 発行日: | 2017年5月1日 |
| 抄録: | BACKGROUND: Surfing is an increasingly popular activity and surfing-related injuries have increased accordingly. However, to the best of our knowledge, there are no reports of penetrating upper airway injuries in surfers. We present a "cannot ventilate, cannot intubate" situation following penetrating neck injury by a surfboard fin. CASE PRESENTATION: A previously healthy 29-year-old Japanese man was swept off his board by a large wave and his left mandible, tongue root, and right epipharynx were penetrated by the surfboard fin. He presented with severe hypovolemic shock because of copious bleeding from his mouth. Direct laryngoscopy failed, as did manual ventilation, because of the exacerbated upper airway bleeding and distorted upper airway anatomy. Open cricothyrotomy was immediately performed, followed by surgical exploration, which revealed extensive ablation of his tongue root and laceration of his lingual artery. After definitive hemostasis and intensive care, he returned home with no sequelae. CONCLUSIONS: The long, semi-sharp surfboard fin created both extensive crushing upper airway lesions and a sharp vascular injury, resulting in a difficult airway. This case illustrates that surfing injuries can prompt a life-threatening airway emergency and serves as a caution for both surfers and health care professionals. |
| 出版者: | BioMed Central |
| 本文の言語: | eng |
| このページのURI: | http://ir.fmu.ac.jp/dspace/handle/123456789/578 |
| 本文URL: | http://ir.fmu.ac.jp/dspace/bitstream/123456789/578/1/JMedCaseRep_11_121.pdf |
| ISSN: | 1752-1947 |
| DOI: | 10.1186/s13256-017-1284-5 |
| PubMed番号: | 28460647 |
| 関連ページ: | http://doi.org/10.1186/s13256-017-1284-5 |
| 権利情報: | © The Author(s). 2017 This article is distributed under the terms of the Creative Commons Attribution 4.0 International License |
| 権利情報: | http://creativecommons.org/licenses/by/4.0/ |
| 出現コレクション: | a10 学術雑誌論文等 = Journal Article
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