CASE REPORT
Year : 2017  |  Volume : 19  |  Issue : 1  |  Page : 77-80

Anesthetic management of impalement thoraco-abdominal injury following fall from height in resource-poor settings


1 Department of Anesthesia and Intensive Care, College of Health Sciences, Benue State University, Makurdi, Nigeria
2 Department of Surgery, College of Health Sciences, Benue State University, Makurdi, Nigeria

Correspondence Address:
Bassey E Edem
Department of Anesthesia and Intensive Care, College of Health Sciences, Benue State University, Makurdi
Nigeria
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2276-7096.207586

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Fall from height is a common cause of penetrating abdomino-thoracic injuries. These often require thoracotomies to treat. Thoracotomy requires lung isolation technique. Specialized endobronchial tubes and endobronchial blockers are ideally used in the technique. However, in resource-poor settings, these specialized tubes are often unavailable. We report how a conventional single-lumen endotracheal tube was used to carry out one-lung anesthesia for thoracotomy to repair an impalement thoraco-abdominal injury following a fall from height with good results.


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