Panamerican Journal of Trauma, Critical Care & Emergency Surgery

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VOLUME 10 , ISSUE 1 ( January-April, 2021 ) > List of Articles

CASE REPORT

Herida Penetrante Cervical En Pediatría

Adriana M Simons, Ezequiel Monteverde, Andrea Francavilla, Alejandro Gattari, Deborah Turina, Analia Costas, Pilar A Lopez, Pablo Neira

Keywords : Airway injury, Firearm injury, Pediatric trauma, Penetrating neck injury, Vascular injuries cervical region

Citation Information : Simons AM, Monteverde E, Francavilla A, Gattari A, Turina D, Costas A, Lopez PA, Neira P. Herida Penetrante Cervical En Pediatría. Panam J Trauma Crit Care Emerg Surg 2021; 10 (1):46-50.

DOI: 10.5005/jp-journals-10030-1312

License: CC BY-NC 4.0

Published Online: 01-04-2021

Copyright Statement:  Copyright © 2021; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Penetrating neck trauma (PNT) is infrequent in children. Penetrating neck trauma-related vascular injuries contribute significantly to morbidity and mortality, with severe bleeding being the most common cause of early death. Scarcity of information on the subject, and the diagnostic and therapeutic complexity that these patients present, motivate the consideration for presentation of the following cases admitted to a pediatric intensive care unit (PICU) in a 5-year period. These cases showed different evolution and mechanism of injury. Two of them required emergency surgical exploration with final procedures derived from intraoperative findings. In the third case, given his good general condition and hemodynamic stability, it was decided to maintain a non-operative approach with satisfactory results. The mortality of these patients is high during the golden hour, since the therapeutic results depend on a high-degree suspicion index.


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