Foley Catheter Balloon Tamponade for Life-threatening Hemorrhage in Penetrating Neck Trauma

2006 ◽  
Vol 30 (7) ◽  
pp. 1265-1268 ◽  
Author(s):  
Pradeep Navsaria ◽  
Maximilien Thoma ◽  
Andrew Nicol
2018 ◽  
Vol 29 (3) ◽  
pp. 435-437 ◽  
Author(s):  
Adam J. Yen ◽  
Miles B. Conrad ◽  
Patricia A. Loftus ◽  
Vishal Kumar ◽  
Sujal M. Nanavati ◽  
...  

2019 ◽  
Vol 12 (4) ◽  
pp. 301-304
Author(s):  
Anson Jose ◽  
Saurabh Arya ◽  
Shakil Ahmed Nagori ◽  
Himanshu Thukral

The aim of this study is to evaluate the efficacy of Foley catheter in the management of hemorrhage from penetrating maxillofacial injuries in austere environment. This retrospective cohort study evaluated all penetrating head and neck trauma caused by firearm injuries reported to a military hospital at a forward aid location during 2015-2017. Foley catheter was used in the emergency management of bleeding in 11 cases. The effectiveness of this technique in controlling hemorrhage, its indication, contraindications, and complications has been explained. Out of 26 penetrating injuries received during the time period, 11 patients underwent Foley catheter balloon tamponade for the control of hemorrhage. Ten out of 11 patients responded adequately to balloon tamponade. One patient with a bullet lodged inside the neck underwent immediate surgical exploration for its removal and repair of internal jugular vein. No neurological deficits or complications were noted in any of the patients. Foley catheter balloon tamponade is very effective in managing hemorrhage from head and neck penetrating injuries. It significantly reduces the mortality by controlling bleeding from the major vessels especially in a combat environment.


2021 ◽  
Vol 2 (1) ◽  
pp. 27-30
Author(s):  
Rohit Bhardwaj

Background Penetrating neck trauma is an injury in which platysma muscle in neck is breached. It is a life threatening emergency and it requires urgent management by securing airway and neck exploration. Tracheostomy is one of the important procedures as it secures the airway though associated with complications and morbidity in the patients. Case Presentation We present 3 cases of penetrating neck trauma. Each patient is managed by different means of securing airway depending on the site of trauma and associated laryngeal injury. Conclusion Tracheostomy in penetrating neck trauma helps in securing the airway and paves way for safe neck exploration. Minor laryngeal injuries are managed conservatively in order to avoid complications associated with tracheostomy. Tracheostomy and other means of airway management in penetrating neck trauma depend mainly on individualised approach though tracheostomy at a lower site to that of wound should be preferred in major laryngeal injuries. Keywords: Penetrating Neck Trauma; Tracheostomy; Laryngeal Injuries; Airway Management.


1993 ◽  
Vol 11 (4) ◽  
pp. 479-480 ◽  
Author(s):  
Ron M. Walls ◽  
Richard Wolfe ◽  
Peter Rosen

Author(s):  
Ajani G. Nugent ◽  
Charles E. Moore

2019 ◽  
Vol 87 (2) ◽  
pp. 505-507
Author(s):  
Alison L. Halpern ◽  
Christine R. Burton ◽  
Lauren T. Steward

2011 ◽  
Vol 2011 ◽  
pp. 1-4
Author(s):  
Matthew Nayor ◽  
Alissa J. Berliner ◽  
Grant V. Chow ◽  
David D. Spragg

Bradycardia and transient asystole are well-described sequelae of a myriad of neurologic insults, ranging from focal to generalized injuries. Increased vagal tone also predisposes many individuals, particularly adolescents, to transient neurally mediated bradyarrhythmia. However, prolonged periods of sinus arrest without junctional or ventricular escape are quite rare, even after significant neurologic injury. We describe the case of a 17-year-old man who presented with anoxic brain injury secondary to hemorrhagic shock from a stab wound to the neck. His recovery was complicated by prolonged periods of sinus arrest and asystole, lasting over 60 seconds per episode. This case illustrates that sustained asystolic episodes may occur following significant neurologic injury, and may continue to recur even months after an initial insult. Pacemaker implantation for such patients should be strongly considered.


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