title: Tracheal injury as a sequence of multiple attempts of endotracheal intubation in the course of a preclinical cardiopulmonary resuscitation.
abstract: Management of the difficult airway requires an appropriate approach based on personal clinical experiences. For every physician involved in rescue and emergency medicine, it is important to know the difficult airway algorithm and be familiar with alternative techniques of managing the difficult airway. We report a case of tracheal injury caused by multiple attempts at intubating the trachea. Based on current knowledge, apart from surgical equipment for cricothyroidotomy the laryngeal mask airway (LMA) and the Combitube (ETC) should be available on any ambulance vehicle staffed by an emergency physician. In future, blind intubation through the intubating laryngeal mask airway (ILMA) could offer a new opportunity.
authors.affiliation: Department of Anaesthesiology, Medizinische Hochschule Hannover, Germany. jaeger.karsten@mh-hannover.de
authors.forename: K
authors.initials: K
authors.lastname: Jaeger
authors.forename: H
authors.initials: H
authors.lastname: Ruschulte
authors.forename: A
authors.initials: A
authors.lastname: Osthaus
authors.forename: D
authors.initials: D
authors.lastname: Scheinichen
authors.forename: J
authors.initials: J
authors.lastname: Heine
mesh_terms: D016887:Cardiopulmonary Resuscitation / Q000009:adverse effects*; D004632:Emergency Medical Services; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D014132:Trachea / Q000293:injuries*