A retropharyngeal-mediastinal hematoma with supraglottic and tracheal obstruction: The role of multidisciplinary airway management

A retropharyngeal-mediastinal hematoma with supraglottic and tracheal obstruction: The role of multidisciplinary airway management

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A 77-year-old man suffered hypoxemic cardiac arrest by supraglottic Straining Bag and tracheal airway obstruction in the emergency department.A previously unknown cervical fracture had caused a traumatic retropharyngeal-mediastinal hematoma.A lifesaving surgical emergency tracheostomy succeeded.Supraglottic and tracheal obstruction by a retropharyngeal-mediastinal hematoma with successful resuscitation via emergency tracheostomy after hypoxemic cardiac arrest has never been reported in a context of trauma.

This clinically demanding case outlines the need for multidisciplinary airway management systems with continuous training and well-implemented guidelines.Only multidisciplinary staff preparedness and readily available equipments NASAL WASH W XYLITOL for the unanticipated difficult airway solved the catastrophic clinical situation.