Primary diagnosis and emergency treatment
Keywords:
wounds, neckAbstract
Patients with neck wounds and presenting symptoms of shock or acute respiratory insufficiency may die within a short period in such problems are not
corrected. Primary diagnosis and emergency treatment prior to surgery are fundamental. Acute respiratory insufficiency is due to engagement of high airway or to hypertensive pleural occupation. The paper contains a description pf main obstruction mechanisms, lesion and compression of airway and principies of therapy, with special attention
to the peculiarities of emergency tracheostomy. There is possibility of hypertensive pneumothorax which should be immediately diagnosed and treated.
In cases of air obstruction and pleural occupation -.vhich are toller a ble to the patient, the period of anesthesic induction is critical Shock is the equivalent to severe hemorrhage, either exterior or into the pleural cavity. Heart plugging is possible. There are severa! manouvres for achieving temporary pre-operatory hemostasis and details regarding reinstatement of volemia. Finally, the seriousness of neck wounds associated t::l lesions in other parts of the body renders necessary simultaneous approach by two teams of surgeous.
Downloads
Metrics
Downloads
Published
How to Cite
Issue
Section
License
All articles, videos and images published in Revista Cirugía del Uruguay are under the Creative Commons CC licenses, which is a complement to the traditional copyright, in the following terms: first, the authorship of the referred document must always be acknowledged and secondly none of the article or work published in the journal may have commercial purposes of any nature. The authors retain their copyrights and give the magazine the right of first publication of their work, which will be simultaneously subject to the Creative Commons Attribution-NonCommercial 4.0 International License license that allows the work to be shared whenever the initial publication is indicated in this journal.