PDF(Pubmed)
Abstract：
Head and neck trauma can result in difficult airway management. A 25-year-old male required emergency tracheal intubation on arrival to the emergency department following a motorbike accident. Despite the presence of a normal capnography a computed tomography scan demonstrated a tracheal opening, an extra-tracheal position of the distal end of the tracheal tube, and extensive subcutaneous emphysema. The tube was re-directed into the trachea and the tracheal injury was surgically repaired. This case highlights that the presence of a normal capnograph does not necessarily mean that the distal end of the tracheal tube resides within the airway.
摘要：
头颈部创伤可导致困难的气道管理。一名25岁的男性在发生摩托车事故后到达急诊室时需要紧急气管插管。尽管存在正常的二氧化碳图，但计算机断层扫描显示气管开放，气管导管远端的气管外位置，和广泛的皮下气肿。将管重新定向到气管中，并通过手术修复气管损伤。这种情况突出表明，正常二氧化碳描记器的存在并不一定意味着气管导管的远端位于气道内。
