Schwieriger präklinischer Atemweg und Bergung an der Rettungswinde

Zusammenfassung

Vorstellung der Kasuistik eines 60-jährigen Patienten mit Verletzung durch einen schweren Gegenstand am zervikothorakalen Übergang. Bei progredienter Dyspnoe infolge einer entstandenen Paraplegie erfolgte die Intubation mittels Larynxtubus bei schwierigem Atemweg. Bergungstechnisch wurde die Indikation zur Windenbergung des Patienten mittels Rettungshelikopter im unwegsamen Baustellengelände gestellt. Diskussion der folgenden Punkte: präklinischer schwieriger Atemweg und Windenbergung eines beatmeten Patienten.

Abstract

Case report of a 60-year-old patient with a cervicothoracic spine injury secondary to a strike by a heavy object. Because of progressive difficulties to breathe due to paraplegia, the patient was intubated with a laryngeal tube in the context of a difficult airway. The transport of the patient was facilitated by a rescue helicopter hoist operation. The following subjects will be discussed: Prehospital difficult airway and hoist rescue operation with a ventilated patient.

Schlüsselwörter

Windenrettung - Larynxtubus - schwieriger Atemweg - Halswirbelsäulenverletzung

Keywords

hoist rescue operation - laryngeal tube - difficult airway - cervical spine injury

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