<abstract xmlns="http://www.w3.org/1999/xhtml"><p>Pediatric laryngotracheal injuries from blunt force trauma are rare but can lead to significant morbidity and mortality. In pediatric patients with severe laryngotracheal disruption, extracorporeal membrane oxygenation has been used to improve oxygenation and ventilation until definitive repair can be performed. We describe the case of a 3-year-old girl with blunt neck trauma secondary to an all-terrain vehicle accident in which her neck was clotheslined against a fence, leading to a complete tracheal transection at the C7-T1 level. Emergent extracorporeal membrane oxygenation cannulation was initiated. We discuss the evaluation and management of tracheal injuries and the requisite multidisciplinary team approach. Pediatric patients with laryngotracheal trauma require definitive airway management, which should be performed by skilled personnel.</p></abstract>

Pediatric laryngotracheal injuries from blunt force trauma are rare but can lead to significant morbidity and mortality. In pediatric patients with severe laryngotracheal disruption, extracorporeal membrane oxygenation has been used to improve oxygenation and ventilation until definitive repair can be performed. We describe the case of a 3-year-old girl with blunt neck trauma secondary to an all-terrain vehicle accident in which her neck was clotheslined against a fence, leading to a complete tracheal transection at the C7-T1 level. Emergent extracorporeal membrane oxygenation cannulation was initiated. We discuss the evaluation and management of tracheal injuries and the requisite multidisciplinary team approach. Pediatric patients with laryngotracheal trauma require definitive airway management, which should be performed by skilled personnel.

Complete Tracheal Transection in a 3-Year-Old after Blunt Neck Trauma: A Case Report

University of Florida College of Medicine

Department of Anesthesiology and Pain Management

Department of Anesthesiology & Critical Care – Clinic, Nemours Children's Specialty Care

Romanian Journal of Anaesthesia and Intensive Care

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Pediatric laryngotracheal injuries from blunt force trauma are rare but can lead to significant morbidity and mortality. In pediatric patients with severe...

Complete Tracheal Transection in a 3-Year-Old after Blunt Neck Trauma: A Case Report

Article Category: Case report

Published Online: Aug 10, 2020

Page range: 4 - 10

DOI: https://doi.org/10.2478/rjaic-2020-0003

Keywords
Extubation, extracorporeal membrane oxygenation, laryngeal trauma, pediatric, trachea

© 2020 Cameron R. Smith et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Complete Tracheal Transection in a 3-Year-Old after Blunt Neck Trauma: A Case Report

Article Category: Case report

Published Online: Aug 10, 2020

Page range: 4 - 10

DOI: https://doi.org/10.2478/rjaic-2020-0003

KeywordsExtubation, extracorporeal membrane oxygenation, laryngeal trauma, pediatric, trachea

© 2020 Cameron R. Smith et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Keywords
Extubation, extracorporeal membrane oxygenation, laryngeal trauma, pediatric, trachea