Travmada Havayolu
Özet
Travma, küresel sağlık açısından önemli bir halk sağlığı sorunu olup, yüksek mortalite ve morbidite oranlarına sahiptir. Travma hastalarında havayolunun güvence altına alınması, ilk müdahalelerde en kritik adımlardan biridir, çünkü travmaya bağlı ölümler sıklıkla hipoksi ve ventilasyon yetersizliğinden kaynaklanır. Maksillofasiyal, boyun ve göğüs travmaları gibi spesifik yaralanmalar, havayolu yönetimini zorlaştırabilir ve her durumda farklı yaklaşımlar gerektirir.
Travma hastalarında havayolu yönetiminde sağlık profesyonellerinin bilgi ve becerisi belirleyici olup, doğru ekipman kullanımı ve komplikasyonların yönetimi hasta sonuçlarını doğrudan etkiler. Bu nedenle, travma vakalarında havayolu yönetimi için hem temel hem de ileri tekniklerin bilinmesi ve uygulanması büyük önem taşımaktadır.
Referanslar
World Health Organization. Global status report on road safety 2018. World Health Organization; 2018.
Jaber, S., Jung, B., Chanques, G. (2009). Endotracheal Intubation in the ICU. In: Vincent, JL. (eds) Intensive Care Medicine. Springer, New York, NY. https://doi.org/10.1007/978-0-387-92278-2_30
Davis DP, Peay J, Sise MJ, et al. The impact of prehospital endotracheal intubation on outcome in moderate to severe traumatic brain injury. J Trauma. 2005;58(5):933-939. doi:10.1097/01.ta.0000162731.53812.58
Gunning M, O'Loughlin E, Fletcher M, Crilly J, Hooper M, Ellis DY. Emergency intubation: a prospective multicentre descriptive audit in an Australian helicopter emergency medical service. Emerg Med J 2009 Jan 1;26(1):65–9.
Wikipedia. Respiratory System Complete. (01/08/2024 tarihinde https://en.wikipedia.org/wiki/File:Respiratory_system_complete_en.svg adresinden ulaşılmıştır).
Marieb EN, Hoehn KN. Human Anatomy & Physiology. 10th ed. Pearson; 2015.
Moore KL, Dalley AF, Agur AMR. Clinically Oriented Anatomy. 7th ed. Lippincott Williams & Wilkins; 2013.
Patel A, Cladis FP, Steward DJ. Chapter 11: Pediatric Airway. In: Miller’s Anesthesia. 8th ed. Elsevier Saunders; 2015:509-554.
Litman RS, Weissend EE, Shibata D, Westesson PL. Developmental changes of laryngeal dimensions in unparalyzed, sedated children. Anesthesiology. 2003;98(1):41-45. doi:10.1097/00000542-200301000-00010
Finucane BT, Tsui BC, Santora AH, Finucane BT, Tsui BC, Santora AH. Anatomy of the Airway. Principles of Airway Management. 2011:1-25.
Di Cicco M, Kantar A, Masini B, Nuzzi G, Ragazzo V, Peroni D. Structural and functional development in airways throughout childhood: Children are not small adults. Pediatr Pulmonol. 2021;56(1):240-251. doi:10.1002/ppul.25169
Nakayama DK, Gardner MJ, Rowe MI. Emergency endotracheal intubation in pediatric trauma. Ann Surg. 1990;211(2):218-223. doi:10.1097/00000658-199002000-00015
Koka BV, Jeon IS, Andre JM, MacKay I, Smith RM. Postintubation croup in children. Anesth Analg. 1977;56(4):501-505. doi:10.1213/00000539-197707000-00008
West JB, John B. Respiratory Physiology: The Essentials. 9th ed. Lippincott Williams & Wilkins; 2011.
Weibel ER. Morphometry of the Human Lung. Springer Verlag and Academic Press; 2013.
Habler OP, Messmer KF. The physiology of oxygen transport. Transfus Sci. 1997;18(3):425-435. doi:10.1016/S0955-3886(97)00041-6
Krishna SG, Bryant JF, Tobias JD. Management of the Difficult Airway in the Pediatric Patient. J Pediatr Intensive Care. 2018;7(3):115-125. doi:10.1055/s-0038-1624576
Deem S, Bishop MJ. Evaluation and management of the difficult airway. Crit Care Clin. 1995;11(1):1-27.
Bhaskar B, Fraser JF. Negative pressure pulmonary edema revisited: Pathophysiology and review of management. Saudi J Anaesth. 2011;5(3):308-313. doi:10.4103/1658-354X.84108
Pietraś A, Markiewicz M, Mielnik-Niedzielska G. Rigid Bronchoscopy in Foreign Body Aspiration Diagnosis and Treatment in Children. Children (Basel). 2021;8(12):1206. Published 2021 Dec 20. doi:10.3390/children8121206
Kovacs G, Sowers N. Airway Management in Trauma. Emerg Med Clin North Am. 2018;36(1):61-84. doi:10.1016/j.emc.2017.08.006
Brochard L. Ventilation-induced lung injury exists in spontaneously breathing patients with acute respiratory failure: Yes. Intensive Care Med. 2017;43:250–252. doi:10.1007/s00134-016-4645-4
Walls RM, Murphy MF. Manual of Emergency Airway Management, 4th ed. Lippincott Williams & Wilkins; 2012.
Nolan JP, Soar J, Zideman DA, et al. European Resuscitation Council Guidelines for Resuscitation 2010 Section 1. Executive summary. Resuscitation. 2010;81(10):1219-1276. doi:10.1016/j.resuscitation.2010.08.021
Mahadevan SV, Garmel GM, eds. In: An Introduction to Clinical Emergency Medicine. Cambridge University Press; 2012:i-ii.
Grensemann J, Simon M, Kluge S. Airway management in intensive care and emergency medicine : What is new?. Med Klin Intensivmed Notfmed. 2019;114(4):334-341. doi:10.1007/s00063-018-0498-7
Ajith P, Bandyopadhyay A, Meena SC, Jain K, Aggarwal S, Gupta SK. Direct laryngoscope versus McGRATH video-laryngoscope for tracheal intubation in trauma emergency: A randomised control trial. Am J Emerg Med. 2022;56:353-355. doi:10.1016/j.ajem.2021.09.042
Adnet F, Baillard C, Borron SW, et al. Randomized study comparing the "sniffing position" with simple head extension for laryngoscopic view in elective surgery patients. Anesthesiology. 2001;95(4):836-841. doi:10.1097/00000542-200110000-00009
Kheterpal S, Healy D, Aziz MF, et al. Incidence, predictors, and outcome of difficult mask ventilation combined with difficult laryngoscopy: A report from the Multicenter Perioperative Outcomes Group. Anesthesiology. 2013;119(6):1360-1369. doi: 10.1097/ALN.0000435832.39353.20
Hodgetts TJ, Kenward G, Vlackonikolis I, et al. Incidence, location and reasons for avoidable in-hospital cardiac arrest in a district general hospital. Resuscitation. 2002;54(2):115-123. doi:10.1016/s0300-9572(02)00098-9
Neumar RW, Otto CW, Link MS, Kronick SL, Shuster M, Callaway CW, et al. Part 8: Adult advanced cardiovascular life support: 2010 American heart association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2010;122(18 Suppl 3):S729-67.
Wanner A, Zighelboim A, Sackner MA. Nasopharyngeal airway: a facilitated access to the trachea. Annals of lnternal Medicine 1971; 75 593-5.
Greaves I, Porter K, Garner J. Trauma Care Manual. 2nd ed. CRC Press; 2008.
Dundar ZD, Ayranci MK, Kocak S, Girisgin AS. Bag-Valve-Mask versus Laryngeal Mask Airway Ventilation in Cardiopulmonary Resuscitation with Continuous Compressions: A Simulation Study. Prehosp Disaster Med. 2021;36(2):189-194. doi:10.1017/S1049023X21000054
Soleimanpour M, Rahmani F, Ala A, et al. Comparison of four techniques on facility of two-hand Bag-valve-mask (BVM) ventilation: E-C, Thenar Eminence, Thenar Eminence (Dominant hand)-E-C (non-dominant hand) and Thenar Eminence (non-dominant hand) - E-C (dominant hand). J Cardiovasc Thorac Res. 2016;8(4):147-151. doi:10.15171/jcvtr.2016.30
Law JA, Broemling N, Cooper RM, et al. The difficult airway with recommendations for management-part 2-the anticipated difficult airway. Can J Anaesth. 2013;60(11):1119-1138. doi:10.1007/s12630-013-0020-x
Matehuala-Morán, Iván & Pérez, Axel & Fuentes-Alvarez, J. Rubén & Beltrán-Fernández, J. & Hernandez-Gilsoul, Thierry & Villaseñor, Pedro & Rojas-Vega, Lorena & Cadena, Miguel & Alfaro Ponce, Mariel. (2022). Design and Additive Construction of a Video-Laryngoscope for Endotracheal Intubation of Adult Patients. Frontiers in Materials. 9. 906851. 10.3389/fmats.2022.906851.
Nolan JP, Kelly FE. Airway challenges in critical care. Anaesthesia. 2011;66 Suppl 2:81-92. doi:10.1111/j.1365-2044.2011.06937.x
Brimacombe J. Laryngeal mask anesthesia: principles and practice. 2nd ed. Saunders; 2004.
Medscape Reference Libarary. Laryngeal Mask Airway (02/08/2024 tarihinde https://emedicine.medscape.com/article/82527-overview?form=fpf#a7 adresinden ulaşılmıştır.)
Cook TM, Gatward JJ, Handel J, et al. Evaluation of the LMA Supreme in 100 non-paralysed patients. Anaesthesia. 2009;64(5):555-562. doi:10.1111/j.1365-2044.2008.05824.x
Lewis SR, Butler AR, Parker J, Cook TM, Schofield-Robinson OJ, Smith AF. Videolaryngoscopy versus direct laryngoscopy for adult patients requiring tracheal intubation: a Cochrane Systematic Review. Br J Anaesth. 2017;119(3):369-383. doi:10.1093/bja/aex228
Kabrhel C, Thomsen TW, Setnik GS, Walls RM. Videos in clinical medicine. Orotracheal intubation. N Engl J Med. 2007;356. doi: 10.1056/NEJMvcm063574
Cheung NH, Napolitano LM. Tracheostomy: epidemiology, indications, timing, technique, and outcomes. Respir Care. 2014;59(6):895-919. doi:10.4187/respcare.02971
Smith J, Greaves I, Porter K. Oxford Desk Reference: Major Trauma Trauma. Oxford University Press; 2010.
Craig Hospital. Tracheostomy Guide. (11/08/2024 tarihinde https://craighospital.org/resources/tracheostomy-guide adresinden ulaşılmıştır.)
Schultz CH, Koenig KL, Noji EK. A medical disaster response to reduce immediate mortality after an earthquake. N Engl J Med. 1996;334(7):438-444. doi:10.1056/NEJM199602153340706
Tobin JM, Barras WP, Bree S, et al. Anesthesia for Trauma Patients. Mil Med. 2018;183(suppl_2):32-35. doi:10.1093/milmed/usy062
Chesnut RM, Temkin N, Carney N, et al. A trial of intracranial-pressure monitoring in traumatic brain injury [published correction appears in N Engl J Med. 2013 Dec 19;369(25):2465]. N Engl J Med. 2012;367(26):2471-2481. doi:10.1056/NEJMoa1207363
ATLS Subcommittee, American College of Surgeons’ Committee on Trauma, International ATLS working group. Advanced Trauma Life Support (ATLS®): The Ninth Edition. J Trauma Acute Care Surg. 2013;74(5):1363-1366.
Austin N, Krishnamoorthy V, Dagal A. Airway management in cervical spine injury. Int J Crit Illn Inj Sci. 2014;4(1):50-56. doi:10.4103/2229-5151.128013
Welter S, Essaleh W. Management of tracheobronchial injuries. J Thorac Dis. 2020;12(10):6143-6151. doi:10.21037/jtd-2019-as-05
Hall T, Leeies M, Funk D, et al. Emergency airway management in a tertiary trauma centre (AIRMAN): a one-year prospective longitudinal study. Can J Anaesth. 2023;70(3):351-358. doi:10.1007/s12630-022-02390-2
Waydhas C, Prediger B, Kamp O, et al. Prehospital management of chest injuries in severely injured patients—a systematic review and clinical practice guideline update. Eur J Trauma Emerg Surg 2024. https://doi.org/10.1007/s00068-024-02457-3
Karmy-Jones R, Jurkovich GJ, Nathens AB, et al. Timing of urgent thoracotomy for hemorrhage after trauma: a multicenter study. Arch Surg. 2001;136(5):513-518. doi:10.1001/archsurg.136.5.513.
Senanayake E, Smith G, Rooney S, Graham T, Greaves I. Chest drains-An overview. Trauma. 2017;19(2):86-93. doi:10.1177/1460408616676505.
Disma N, Asai T, Cools E, et al. Airway management in neonates and infants: European Society of Anaesthesiology and Intensive Care and British Journal of Anaesthesia joint guidelines. Eur J Anaesthesiol. 2024;41(1):3-23. doi:10.1097/EJA.0000000000001928
Schmucker Agudelo E, Farré Pinilla M, Andreu Riobello E, et al. An update in paediatric airway management. Rev Esp Anestesiol Reanim (Engl Ed). 2022;69(8):472-486. doi:10.1016/j.redare.2022.08.001
Hsu G, von Ungern-Sternberg BS, Engelhardt T. Pediatric airway management. Curr Opin Anaesthesiol. 2021;34(3):276-283. doi:10.1097/ACO.0000000000000993
Sohn L, Peyton J, von Ungern-Sternberg BS, Jagannathan N. Error traps in pediatric difficult airway management. Paediatr Anaesth. 2021;31(12):1271-1275. doi:10.1111/pan.14289
Goodnight WH, Soper DE. Pneumonia in pregnancy. Crit Care Med. 2005;33(10 Suppl):S390-S397. doi:10.1097/01.ccm.0000182483.24836.66
Hawkins JL, Chang J, Palmer SK, Gibbs CP, Callaghan WM. Anesthesia-related maternal mortality in the United States: 1979–2002. Obstetrics & Gynecology. 2011 Jan 1;117(1):69-74.
Halpern SH, Douglas MJ. Evidence-Based Obstetric Anesthesia. Wiley-Blackwell; 2008.
Cheek TG, Baird E. Anesthesia for nonobstetric surgery: maternal and fetal considerations. Clin Obstet Gynecol. 2009;52(4):535-545. doi:10.1097/GRF.0b013e3181c11f60
Greenland KB, Edwards MJ, Hutton NJ. External Auditory Meatus-Sternal Notch Relationship in Adults Predicts Difficulty of Laryngoscopy in Obese Patients. Br J Anaesth. 2010;104(2):268-269.
Tsan SEH, Ng KT, Lau J, Viknaswaran NL, Wang CY. A comparison of ramping position and sniffing position during endotracheal intubation: a systematic review and meta-analysis. Braz J Anesthesiol. 2020;70(6):667-677. doi:10.1016/j.bjan.2020.08.009
Seongheon L, Eun-A J, Minjae H, Hong-Beom B, Joungmin K. Ramped versus sniffing position in the videolaryngoscopy-guided tracheal intubation of morbidly obese patients: a prospective randomized study. Korean J Anesthesiol. 2023;76(1):47-55. doi:10.4097/kja.22268
Christine E, Whitten MD. Anyone Can Intubate (5th Ed.): A Step-by-Step Guide to Intubation & Airway Management. Mooncat Publications; 2013.
Liew WJ, Negar A, Singh PA. Airway management in patients suffering from morbid obesity. Saudi J Anaesth. 2022;16(3):314-321. doi:10.4103/sja.sja_90_22
Aziz MF, Dillman D, Fu R, Brambrink AM. Comparative effectiveness of the C-MAC video laryngoscope versus direct laryngoscopy in the setting of the predicted difficult airway. Anesthesiology. 2012;116(3):629-636. doi:10.1097/ALN.0b013e318246ea34
Cavus E, Callies A, Doerges V, et al. The C-MAC videolaryngoscope for prehospital emergency intubation: a prospective, multicentre, observational study. Emerg Med J. 2011;28(8):650-653. doi:10.1136/emj.2010.098707
Miller RD, Eriksson LI, Fleisher LA, Wiener JP, Young WL. Miller's Anesthesia. 7th ed. Churchill Livingstone/Elsevier; 2009
McFadyen JG, Ramaiah R, Bhananker SM. Initial assessment and management of pediatric trauma patients. Int J Crit Illn Inj Sci. 2012;2(3):121-127. doi:10.4103/2229-5151.100888
Mosier J, Chiu S, Patanwala AE, Sakles JC. A comparison of the GlideScope video laryngoscope to the C-MAC video laryngoscope for intubation in the emergency department. Ann Emerg Med. 2013;61(4):414-420.e1. doi:10.1016/j.annemergmed.2012.11.001
Hagberg C. Benumof’s Airway Management: Principles and Practice. 2nd ed. Mosby Elsevier; 2007:263-292.
Mendelson CL. The aspiration of stomach contents into the lungs during obstetric anesthesia. Am J Obstet Gynecol. 1946;52:191-205. doi:10.1016/s0002-9378(16)39829-5
Brown CA. The Walls Manual of Emergency Airway Management. 6th ed. Lippincott Williams & Wilkins; 2022.
Lumb AB. Nunn’s Applied Respiratory Physiology. 7th ed. Churchill Livingstone; 2010.
Cook TM, Woodall N, Frerk C; Fourth National Audit Project. Major complications of airway management in the UK: results of the Fourth National Audit Project of the Royal College of Anaesthetists and the Difficult Airway Society. Part 1: anaesthesia. Br J Anaesth. 2011;106(5):617-631. doi:10.1093/bja/aer058