title: Penetrating abdomino-thoracic injury with an iron rod: An anaesthetic challenge.
abstract: Penetrating abdomino-thoracic injuries are potentially life-threatening due to the associated haemorrhagic shock and visceral injury. The management of these injuries poses specific challenges in pre-hospital care, transport, and management strategies. We report a 35-year-old male having impalement injury of the left thorax and left upper arm with a metallic rod used for construction of the house after a fall from height. One rod penetrated thorax from left shoulder and exit point was present just above the iliac crest and second rod was seen piercing left upper arm. Patient was successfully managed without any intraoperative, post-operative surgical complications, neurological damage or permanent injuries.
authors.affiliation: Department of Anaesthesiology and Critical Care, Pt. B.D. Sharma PGIMS, Rohtak, Haryana, India.
authors.forename: Kiranpreet
authors.initials: K
authors.lastname: Kaur
authors.affiliation: Department of Anaesthesiology and Critical Care, Pt. B.D. Sharma PGIMS, Rohtak, Haryana, India.
authors.forename: Suresh K
authors.initials: SK
authors.lastname: Singhal
authors.affiliation: Department of Anaesthesiology and Critical Care, Pt. B.D. Sharma PGIMS, Rohtak, Haryana, India.
authors.forename: Mamta
authors.initials: M
authors.lastname: Bhardwaj
authors.affiliation: Department of Anaesthesiology and Critical Care, Pt. B.D. Sharma PGIMS, Rohtak, Haryana, India.
authors.forename: Prashant
authors.initials: P
authors.lastname: Kumar
keywords: Abdomino-thoracic injury; anaesthetic management; impalement injuries thorax; penetrating injuries