Anesthesia and rescue for the operation of removal of a dagger through the neck

Abstract

One 17-year-old male patient with Rh-negative blood type was subjected to hemorrhagic shock and anhelation.When he was sent into the opeareating room,his neck was pricked and his trachea was cut off by a dagger.The life-threatening problems were that blood volume and tidal volume were seriously insufficient.After giving effective analgesia and anesthesia drugs,we carried out tracheotomy for the patient.To supplement blood capacity in time,femoral venous puncture were made to him.When respiratory and circulation became stable,general anesthesia were carried out for him.After establishing cardiopulmonary bypass (CPB),the operation were carry out to remove the dagger though his neck.When the dagger was take out from his neck,loss of blood became very severe.In order to rescue his life,Rh-positive blood were transfused much and no severe transfusion reaction.The operation was finished successfully.After operation,the patient was transferred to intensive care unit (ICU),and discharged with rehabilitation for 48 days after operation. Key words: Common carotid artery; Trachea rupture; Rh-negative blood type; Cardiopulmonary bypass