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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+Med+Case+Rep
2017 ; 11
(1
): 121
Nephropedia Template TP
gab.com Text
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English Wikipedia
"Cannot ventilate, cannot intubate" situation after penetration of the tongue
root through to the epipharynx by a surfboard: a case report
#MMPMID28460647
Ono Y
; Kunii M
; Miura T
; Shinohara K
J Med Case Rep
2017[May]; 11
(1
): 121
PMID28460647
show ga
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.