A REVIEW OF TRAUMATIC ASPHYXIA IN THE LITERATURE AND A CASE REPORT

Year 2020, , 48 - 51, 16.01.2020

Ahmet Aydın , Mustafa Yavuz

https://doi.org/10.18229/kocatepetip.439664

Abstract

Traumatıc Asphyxıa is commonly known as condition encountered in injuries caused by motor vehicles. It is thought that the closure of the glottis is secondary response to fear and that the intracavitary pressure increases and causes harmful situations, in this case where the physiopathology due to sudden thorax compression and closure of the glottis is important.

Our case, 18 year old man, no known diseases, suddenly work machine overturns and thorax was under pressure during 30 minutes. The glasgow coma scale (GKS) was observed as 7 in the emergency department and he was intubated. After that he was taken to intensive care and the diagnosis was made here. Treatment was started and the patient was discharged without any sequelae.

Traumatic asphyxia is rarely seen and can be mortal, can be easily treated with supportive treatment if there is no pathology except for isolated tirade.

Keywords

Trauma, asphyxia, petechia

TRAVMATİK ASFİKSİDE LİTERATÜRE YENİDEN BİR BAKIŞ VE BİR OLGU SUNUMU

Abstract

Travmatik asfiksi genellikle motorlu araçlarla meydana gelen yaralanmalarda rastlanmış bir durum olarak bilinmektedir. Ani toraks kompresyonuna ve takiben glottisin kapanmasına bağlı gelişen fizyopatolojinin önemli olduğu olayda, glottisin kapanmasının korkuya sekonder bir cevap olduğu, göğüs içi basıncı arttırarak zararlı durumları ortaya çıkardığı düşünülmektedir.

Olgumuz 18 yaşında erkek, bilinen hiçbir hastalığı yok, üzerine aniden iş makinası devriliyor ve 30 dakika toraksın bası altında kaldığı söyleniyor. Acil serviste Glasgow koma skalası (GKS) 7 olarak gözlendi ve entübe edilip yoğun bakıma alındı. Tanısı yoğun bakımda netleştirilip tedavisi başlanan hasta herhangi bir sekel kalmadan taburcu edildi.

Nadir görülen ve mortal seyredebilen travmatik asfiksi, eğer izole triadının dışında bir patoloji yoksa destek tedavisiyle rahatça tedavi edilebilir.

Keywords

travma, asfiksi, peteşi

References

• 1. The acute thoracic compression syndrome: so-called traumatic- asphyxia. In: Besson A, Saegesser F, editors. A colour atlas of chest trauma and assosiated injuries. Vol 1. Paperback ed. Netherlands: Wolfe Medical Publications Ltd; 1989. p. 117-21.
• 2. Richards ce, wallis dn (2005) asphyxiation: a review. Trauma 7:37 45.
• 3. Lowe l, rapini rp, johnson tm: traumatic asphyxia. J are acad dermatol 1990, 23: 972-974.
• 4. Enker E, Özlem Y: Travmatik asfiksi: travma hastalarında nadir görülen bir sendromdur. Int J Emerg Med 2009, 2: 255–256.
• 5. Byard RW, Wick R, Simpson E, Gilbert JD. The pathological features and circumstances of death of lethal crush/traumatic asphyxia in adults–a 25-year study. Forensic Sci Int 2006 Jun;159(2-3):200-205.
• 6. Shields MD, Thomas W, LoCicero J, Reed CE, Feins RH. General Thoracic Surgery.7th ed. Philadelphia: Lippincott Williams & Wilkins; 2009. p. 893.
• 7. Battisella FD, Benfield JR. Blunt and penetrating injuries of the chest wall, pleura and lungs. In: Shields TW, LoCicero III J, Ponn RB, editors. General Thoracic Surgery. 5th ed. Philadelphia: Lippincott Williams and Wilkins Pr; 2000. p. 815-31.
• 8. Ibarra P, Capan LM, Wahlander S, Sutin KM. Difficult airway management in a patient with traumatic asphyxia. Anesth Analg 1997;85:216-8.
• 9. Hurtado TR, Della-Giustina DA. Traumatic asphyxia in a 6-year-old boy. Pediatr Emerg Care 2003;19:167-8.
• 10. Ghali GE, Ellis E 3rd (1989) Traumatic asphyxia: report of a case. J Oral Maxillofac Surg 47:867-870.
• 11. Jongewaard WR, Cogbill TH, Landercasper J (1992) Neurologic consequences of traumatic asphyxia. J Trauma 32(1):28–31.
• 12. Dunne JR, Shaked G, Golocovsky M. Traumatic asphyxia: an indicator of potentially severe injury in trauma. Injury 1996;27:746-9.
• 13. Sarihan H, Abes M, Akyazici R, Cay A, Imamoglu M,Tasdelen I, et al. Traumatic asphyxia in children. J Cardiovasc Surg (Torino) 1997;38:93-5.
• 14. Çobanoğlu U, Yalçınkaya İ. Toraks yaralanmaları. Ulus Travma Acil Cerrahi Derg 2010: 16(1): 77-83 .
• 15. Şenoğlu N, Öksüz H, zincirci B, Ezberci M, Yasım A. Ağır travmatik asfiksi: iki olgu sunumu eşliğinde literatürün gözden geçirilmesi. Türk Göğüs Kalp Damar Cer Derg 2006; 14(1): 78-81.