Anesthetic Management During Emergency Surgical Ligation for Carotid Blowout Syndrome.
A 44-year-old man presented to our emergency department with a pharyngeal hemorrhage, 6 weeks after a total laryngectomy and extensive neck dissection. Immediate surgical intervention was necessary to stop massive arterial hemorrhage from the pharynx. The head and neck surgeon successfully ligated the common carotid artery during this procedure. We describe the anesthetic strategy and the thromboelastometry (ROTEM®)-guided massive transfusion protocol.
From the *Department of Anesthesiology, Erasmus University Medical Center, Rotterdam, the Netherlands; †Department of Anesthesiology, Radboud University Medical Center, Nijmegen, the Netherlands; and ‡Department of Otolaryngology Head and Neck Surgery, Erasmus Medical Center Rotterdam, the Netherlands.
Casper G A
CG
Klein Nulent
Henri J D
HJ
de Graaff
Rein
R
Ketelaars
Aniel
A
Sewnaik
Iscander M
IM
Maissan
D000328:Adult; D000768:Anesthesia, General / Q000379:methods*; D002340:Carotid Artery Diseases / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D017536:Carotid Artery, Common / Q000601:surgery*; D019468:Disease Management; D004632:Emergency Medical Services / Q000379:methods*; D006470:Hemorrhage / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008026:Ligation / Q000379:methods; D008297:Male; D010608:Pharyngeal Diseases / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D013577:Syndrome