[Prehospital cricothyrotomy: a case report]

Ann Fr Anesth Reanim. 2007 Feb;26(2):171-3. doi: 10.1016/j.annfar.2006.11.009. Epub 2006 Dec 14.
[Article in French]

Abstract

Case report of a patient with tonsillitis treated with anti-inflammatory. The patient presented a dyspnoea and finally a cardiac arrest. The oral intubation was impossible and cricothyrotomy had to be performed with a catheter over needle technique. We found a total airway obstruction due to an epiglottis abscess. The patient died few days later of sepsis. We recommend having wire-guided cricothyrotomy technique or catheter-over-needle technique in all prehospital emergency unit and having emergency physician trained to the cricothyrotomy technique.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Abscess / complications*
  • Adult
  • Airway Obstruction / etiology
  • Airway Obstruction / surgery*
  • Anti-Inflammatory Agents, Non-Steroidal / therapeutic use
  • Cardiopulmonary Resuscitation
  • Cricoid Cartilage / surgery*
  • Emergency Medical Services / methods*
  • Epiglottitis / complications*
  • Epinephrine / therapeutic use
  • Fatal Outcome
  • First Aid / instrumentation
  • First Aid / methods*
  • Heart Arrest / etiology
  • Heart Arrest / therapy
  • Humans
  • Intubation, Intratracheal / instrumentation*
  • Male
  • Respiration, Artificial
  • Shock, Septic / etiology
  • Thyroid Cartilage / surgery*
  • Tonsillitis / complications
  • Tonsillitis / drug therapy
  • Tracheotomy / education
  • Tracheotomy / instrumentation*
  • Tracheotomy / methods

Substances

  • Anti-Inflammatory Agents, Non-Steroidal
  • Epinephrine