Caution during endotracheal suctioning in case of skull base fractures!

Détails

ID Serval
serval:BIB_43B04E6D413E
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Institution
Titre
Caution during endotracheal suctioning in case of skull base fractures!
Périodique
European review for medical and pharmacological sciences
Auteur⸱e⸱s
Lavanchy L., Garvayo M., Abed-Maillard S., Ben-Hamouda N.
ISSN
2284-0729 (Electronic)
ISSN-L
1128-3602
Statut éditorial
Publié
Date de publication
05/2021
Peer-reviewed
Oui
Volume
25
Numéro
10
Pages
3803-3806
Langue
anglais
Notes
Publication types: Case Reports ; Journal Article
Publication Status: ppublish
Résumé
Cerebral exteriorization through the cribriform plate during routine endotracheal suctioning (ETS) in a coughing patient without sedation with multiple complex skull base fracture; this case has never been reported in the literature.
We report the case of a polytrauma patient admitted in our ICU with severe traumatic brain injury (TBI) and multiple complex skull base fractures. After 48 hours of neurocritical care and stable neuromonitoring parameters, sedation was stopped for neurological assessment. During this period and while routine ETS was being performed, brain herniation with exteriorization through the nose occurred with a concomitant ICP elevation.
ETS can induce the coughing reflex and provoke a rise in ICP. It is a simple routine procedure that should be performed with great precautions in order to avoid iatrogenic complications, particularly in patients with skull base fractures, such as brain herniation as described in our patient.
Mots-clé
Aged, Brain/diagnostic imaging, Brain Injuries, Traumatic/surgery, Cough/complications, Cough/etiology, Fatal Outcome, Hernia/etiology, Humans, Intracranial Pressure, Magnetic Resonance Imaging, Male, Nose, Skull Base/injuries, Skull Base/surgery, Skull Fractures/surgery, Suction/adverse effects, Tomography, X-Ray Computed, Trachea
Pubmed
Web of science
Open Access
Oui
Création de la notice
21/05/2021 19:03
Dernière modification de la notice
07/04/2022 5:35
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