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CC BY-NC-ND 4.0 · Thorac Cardiovasc Surg Rep 2020; 09(01): e24-e28
DOI: 10.1055/s-0040-1710586
Case Report: Thoracic
Georg Thieme Verlag KG Stuttgart · New York

Tracheal Transection—A Novel Airway Management

Felix Fleißner 
1   Department of Cardiac, Thoracic, Transplantation and Vascular Surgery, Hannover Medical School, Hannover, Germany
,
Max Eike Timm
2   Department of Otorhinolaryngology, Hannover Medical School, Hannover, Niedersachsen, Germany
,
Carl Philipp Lang
2   Department of Otorhinolaryngology, Hannover Medical School, Hannover, Niedersachsen, Germany
,
Thomas Lenarz
2   Department of Otorhinolaryngology, Hannover Medical School, Hannover, Niedersachsen, Germany
,
Christian Kühn
1   Department of Cardiac, Thoracic, Transplantation and Vascular Surgery, Hannover Medical School, Hannover, Germany
,
Daniel Benjamin Jaeger
3   Department of Anesthesiology & Intensive Care Medicine, Hannover Medical School, Hannover, Niedersachsen, Germany
› Author Affiliations Source of Funding None declared.
Further Information

Publication History

30 January 2020

14 March 2020

Publication Date:
22 May 2020 (online)

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Abstract

Background Traumatic injury of the trachea is rare, especially complete transection. Its operative revision requires an interdisciplinary approach.

Case Description We hereby present a rare case of complete transection of the trachea by accident. To stabilize the patient and to allow for safe surgery, veno-venous extracorporeal support was initiated via the subclavian artery and the femoral vein. The patient was subsequently operated, and the trachea re-anastomosed with favorable outcome.

Conclusion This rare case of an accidental transection of the trachea shows the importance of a good emergency rescue chain and the ability to facilitate interdisciplinary approaches in tertiary hospitals.

Keywords

airway - extracorporeal life support - trachea - emergency room

Authors' Contribution

F.F. performed the ECLS implantation, literature review, reviewed the patient's paper and electronic clinical records to collect data, interpreted the data, and wrote the first draft of the article. He was also involved with critical revision of the article. D.B.J., M.E.T., C.P.L., C.K., and T.L. reviewed the patient's electronic clinical records to collect additional data and helped in interpreting the data. They were also involved in critical revision of the article and provided supervision for the first author's activities. All authors approved the final version of the article for submission.


Disclosure

The authors have no disclosures.


 

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