Abstract
A 32-year-old trauma patient was admitted to the emergency department with severe head trauma, maxillofacial injuries, blunt thoracic trauma, an open fracture of the femur, and the suspicion of a contained subcapsular hematoma of the spleen. Following the initial work-up, the patient was transferred to the OR and was simultaneously operated on by trauma surgeons and maxillofacial surgeons. Twenty minutes after the incision, the patient developed increasingly high peak inspiratory pressures, the tidal volumes began to decrease, and the saturation dropped. The flow-volume curve on the monitor showed an incomplete expiratory phase; however, lung auscultation was normal. Suspecting bronchospasm, the anesthesiologist initiated broncholytic therapy which failed to improve the ventilatory parameters. At the anesthesiologist’s request, the surgeons explored the oral cavity and noticed that the endotracheal tube was kinked. After unkinking the tube, the peak pressure, tidal volumes, and saturation normalized.
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(2008). The Challenge of Acute Healthcare. In: St. Pierre, M., Hofinger, G., Buerschaper, C. (eds) Crisis Management in Acute Care Settings. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-71062-2_2
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DOI: https://doi.org/10.1007/978-3-540-71062-2_2
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