Unanticipated Quadraplegia in an Unconscious Mechanically Ventilated Traumatic Head Injured Patient
| Autor: | VO Ajuzieogu, Tonia C Onyeka, HA Ezike |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2011 |
| Předmět: |
Mechanical ventilation
medicine.medical_specialty business.industry medicine.medical_treatment lcsh:Surgery Mechanical Ventilation lcsh:RD1-811 Emergency department Quadriplegia Cervical Spine Injury Intensive care unit Surgery Vertebra law.invention medicine.anatomical_structure law Anesthesia Radiological weapon medicine Cervical Spine Injury Quadriplegia Mechanical Ventilation Young adult medicine.symptom Airway business Collapse (medical) |
| Zdroj: | Nigerian Journal of Surgery; Vol 16, No 1-2 (2010); 17-20 Nigerian Journal of Surgery, Vol 16, Iss 1, Pp 17-20 (2010) |
| ISSN: | 1117-6806 |
| Popis: | Objective A significant number of unconscious patients who present to the emergency department as a result of Road TrafficAccident (RTA) or fall have a major injury to the Cervical Spine. This case highlights the problems of identification of such injuries in the unconscious. CaseReport An unconscious young adult was admitted from the accident and emergency into the intensive care unit with a clinical impression of traumatic head injury. Neck collar was applied and the airway secured with an orotracheal tube. Following positive pressure ventilation for about tenminutes, the patient suddenlywoke up to full consciousness and started shaking his head violently and uncontrollably, necessitating his tracheal extubation. He then complained of his inability to use or feel his limbs. Radiological investigation revealed complete dislocation of first (C 1 ) and second (C 2 ) cervical vertebra; a crack in the left temporal skull and a contused left lung.Hewas re-intubated about 20minutes laterwhen his respiratory efforts began to weaken, and ventilated under propofol sedation. He gradually became ventilator dependent, with collapse of cardiovascular and respiratory systems and died on thirteenth day of admission. Conclusion Cervical Spine injury should be suspected in all unconscious patients following trauma. Key Words: Cervical Spine Injury, Quadriplegia, Mechanical Ventilation. |
| Databáze: | OpenAIRE |
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