Penetrating Neck Trauma: Challenges to Anaesthesiologist

Abstract

the was Abstract Background and Aim: Penetrating neck trauma are not only uncommon but can lead to life threatening complications due to vulnerability of vital structures in the small, confined, unprotected area in the younger population. These occur from an accident, homicide or suicide. So, this study was conducted to analyse the clinical profile, type & level of injury, airway management, choice of anaesthesia technique in such injuries. Material and methods: This retrospective study included 19 cases of penetrating neck injury who were brought to emergency department and had received treatment. The demographic data, site, type, level & depth of injury, type of anesthesia, central venous cannulation, airway management, induction agent used, and any complications were recorded and analyzed. Results: Age range varied from 15 years to 50 years. There were 14(73.68%) males & 5(26.32%) female patients. Majority of penetrating neck injuries were homicidal 11(57.89%) followed by accidental 4(21.05%) and suicidal 4(21.05%). 15(79.05%) patients had zone II injuries. In 8(42.1%) cases of deep penetrating injury of neck, an emergency tracheostomy was done. Conclusion: We conclude that the majority of penetrating neck injuries was seen in younger age group with male predominance. Early and prompt multidisciplinary management can reduce mortality and morbidity.