[Prehospital cricothyrotomy: a case report].
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.
Battefort
F
F
Samu 31, hôpital Purpan, centre hospitalier universitaire, 31000 Toulouse, France. battefort.f@chu-toulouse.fr
Bounes
V
V
Pulcini
M
M
Houze-Cerfon
C-H
CH
Ducassé
J-L
JL
D000038:Abscess / Q000150:complications*; D000328:Adult; D000402:Airway Obstruction / Q000209:etiology / Q000601:surgery*; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D016887:Cardiopulmonary Resuscitation; D003413:Cricoid Cartilage / Q000601:surgery*; D004632:Emergency Medical Services / Q000379:methods*; D004826:Epiglottitis / Q000150:complications*; D004837:Epinephrine / Q000627:therapeutic use; D017809:Fatal Outcome; D005392:First Aid / Q000295:instrumentation / Q000379:methods*; D006323:Heart Arrest / Q000209:etiology / Q000628:therapy; D006801:Humans; D007442:Intubation, Intratracheal / Q000295:instrumentation*; D008297:Male; D012121:Respiration, Artificial; D012772:Shock, Septic / Q000209:etiology; D013957:Thyroid Cartilage / Q000601:surgery*; D014069:Tonsillitis / Q000150:complications / Q000188:drug therapy; D014140:Tracheotomy / Q000193:education / Q000295:instrumentation* / Q000379:methods
D000894:Anti-Inflammatory Agents, Non-Steroidal; D004837:Epinephrine