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Cochran-Caggiano N, Holliday J, Howard C. A Novel Intubation Technique: Bougie Introduction Via Ducanto Suction Catheter. J Emerg Med 2024; 66:221-224. [PMID: 38296765 DOI: 10.1016/j.jemermed.2023.11.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2023] [Revised: 10/04/2023] [Accepted: 11/04/2023] [Indexed: 02/02/2024]
Abstract
BACKGROUND Airway management is a defining skill that demands mastery by emergency physicians. Airway emergencies pose considerable morbidity and mortality risks. Familiarity with, and mastery of, a variety of airway management approaches and equipment can prove invaluable for management of anatomically and physiologically difficult airways. CASE REPORT A 67-year-old woman presented to a level II trauma after a motor vehicle collision. Emergency medical services reported left-sided injuries, including diminished breath sounds. She arrived in extremis with dyspnea and hypoxia refractory to supplemental oxygen. A portable chest x-ray study showed a considerable traumatic diaphragmatic hernia. Initial attempts at intubation via video laryngoscopy were unsuccessful. Difficulties were attributed to anatomic variation, possibly due to the traumatic diaphragmatic hernia, and hematemesis. The airway was repositioned after removal of a cervical collar and suction-assisted laryngoscopy airway decontamination was performed under video guidance. During airway decontamination, the tip of a DuCanto suction catheter (SSCOR) became located at the level of the vocal cords, prompting the decision to control the airway via utilization of the DuCanto suction catheter and a bougie. The suction tubing was disconnected, a bougie was inserted through the catheter, and the DuCanto was subsequently removed and replaced with a cuffed endotracheal tube. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Airway emergencies are imminent life threats. Familiarity with a variety of tools and techniques allows for definitive airway management via primary, back-up, and contingency plans to secure anatomically or physiologically difficult airway.
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Affiliation(s)
| | - Jordan Holliday
- Department of Emergency Medicine, SUNY Upstate Medical University, Syracuse, New York
| | - Cory Howard
- Emergency Medicine Residency, HCA Florida Brandon Hospital, Brandon, Florida
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Radhiana M Y H, Mubarak MY. A case of focal eventration of left hemidiaphragm with transthoracic left kidney confused with a traumatic diaphragmatic hernia. Med J Malaysia 2011; 66:60-61. [PMID: 23765146] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
Focal eventration of the diaphragm with transthoracic kidney is a very rare condition. It is usually asymptomatic and often revealed as an incidental finding on imaging studies. We presented a case of previously undiagnosed focal eventration of left hemidiaphragm with transthoracic left kidney confused with traumatic diaphragmatic hernia. Differentiation of these two conditions is important as each were managed differently. A traumatic diaphragmatic hernia needs early surgical intervention whereas no treatment was required for focal diaphragmatic eventration in most cases. Diagnostic laparoscopy confirmed the findings in this case and the patient was managed conservatively.
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Affiliation(s)
- H Radhiana M Y
- IIUM, Kulliyyah of Medicine, Department of Radiology, Jalan Hospital Campus, 25100 Kuantan, Pahang, Malaysia.
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ALIVISATOS CN, SARRIS M, AVLAMIS G, TSIVOGLOU N, DROSSOS N. Traumatic diaphragmatic hernia with strangulation and gangrene of the stomach. Br J Surg 2005; 46:480-3. [PMID: 13651628 DOI: 10.1002/bjs.18004619916] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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PROBERT WR. Traumatic diaphragmatic hernia; report of a case with long interval between penetrating injury and death following acute intestinal obstruction. Postgrad Med J 2000; 35:153-5. [PMID: 13633630 PMCID: PMC2501833 DOI: 10.1136/pgmj.35.401.153] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Puente Pereda F. [Traumatic diaphragmatic hernia]. CIR CIR 1971; 39:941-59. [PMID: 5570018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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Kleshchevnikova VP, Tatti II, Iatskovets PF. [Case of true traumatic strangulated diaphragmal hernia]. Grudn Khir 1970; 12:105. [PMID: 5531876] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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Heully F, de Ren G, Petiet G, Jeanpierre R. [Post-traumatic diaphragmatic hernia (diaphragmatic rupture and hiatal hernia)]. Med Leg Dommage Corpor 1970; 3:283-6. [PMID: 5536468] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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Cihak RJ. Gastric "time bomb". JAMA 1969; 210:1271. [PMID: 5394651] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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Koszla MM, Walkowiak M. [Traumatic diaphragmatic hernias in children]. Wiad Lek 1969; 22:1989-95. [PMID: 5358853] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
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Sterns LP, Jensen NK, Schmidt WR, Garamella JJ, Lynch MF. Diaphragmatic disruption in major thoracic trauma: a review of 16 cases. Can J Surg 1969; 12:426-31. [PMID: 5352677] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023] Open
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Bourrel P, Perquis P, Lhoiry J, Courbil JL. [Diagnostic and therapeutic problems in recent ruptures of the left hemidiaphragm]. Med Trop (Mars) 1969; 29:589-92. [PMID: 5408100] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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Serrano Muñoz F, Alix Trueba A, Toledo González J, Casillas Pajuelo M, García Lax F. [Traumatic diaphragmatic hernia]. Rev Clin Esp 1968; 111:505-12. [PMID: 5732470] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
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Orecchia C, Sigaudo F. [Some observations on strangulated post-traumatic diaphragmatic hernia]. MINERVA CHIR 1968; 23:1161-5. [PMID: 5703857] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
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Abstract
Seventy-six cases of strangulated diaphragmatic hernia were reported up to 1953. An additional 64 cases reported between 1953 and 1966 are reviewed in this paper. The incidence of strangulation in various types of congenital/traumatic, hiatal, and incisional herniae is discussed. Four further cases of strangulated diaphragmatic hernia are presented. The mechanism of strangulation, its diagnosis, complications, and treatment are discussed.
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Schneider S, Waridel D. [Thoraco-abdominal injuries and ruptures of the diaphragm]. Rev Med Suisse Romande 1968; 88:646-649. [PMID: 5685427] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/21/2023]
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Stäcker AD, Tiwisina T. [Traumatic diaphragmatic hernia as an acute disease]. Med Welt 1968; 4:229-34. [PMID: 5663154] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
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Giardiello A, Scarpelli S. [A case of post-traumatic diaphragmatic hernia]. Rass Int Clin Ter 1968; 48:47-54. [PMID: 5739937] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
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Bano A, Fabretto DA, Giuliani G. [Hernias through the inconstant orifices of the diaphragm]. Chir Ital 1967; 19:737-58. [PMID: 5189370] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
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Dowgird A, Korfel Z. [Traumatic diaphragmatic hernias]. Pol Tyg Lek 1967; 22:1376-8. [PMID: 5583021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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Schieppati E, Ugo AV. [Traumatic diaphragmatic hernias]. Prensa Med Argent 1967; 54:1161-3. [PMID: 5603866] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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Languepin A, Vanetti A, Chardac P, Nivet M. [Apropos of a further case of traumatic rupture of the left diaphragmatic copula in a patient with multiple injuries]. J Chir (Paris) 1967; 93:479-88. [PMID: 6062940] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
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Czyzewski K. [Diaphragmatic hernias of the liver]. Gruzlica 1967; 35:301-303. [PMID: 6041237] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/21/2023]
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Wilhelm A. [Accident and insurance medicine]. Munch Med Wochenschr 1967; 109:323-31. [PMID: 4876769] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
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Faraco F, Cancemi A. [On traumatic hernias of the diaphragm]. Rass Int Clin Ter 1967; 47:18-32. [PMID: 5596876] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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Robb WA, Pollock RM, Seright W. Traumatic diaphragmatic hernia. J R Coll Surg Edinb 1966; 12:53-60. [PMID: 5977607] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
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Garde J, Ducroiset B, Descoeur J, Marty P. [Voluminous strangulated traumatic diaphragmatic hernia, posterior and straddling the median line]. Lyon Chir 1966; 62:411-3. [PMID: 5945431] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
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