RT Book, Section
A1 Guzzo, Angelina
A1 Johnson, Liane B
A1 Hung, Orlando R.
A2 Hung, Orlando
A2 Murphy, Michael F.
SR Print(0)
ID 55870334
T1 Chapter 31. Performing an Elective Percutaneous Dilational Tracheotomy in a Patient on Mechanical Ventilation
T2 Management of the Difficult and Failed Airway, 2e
YR 2012
FD 2012
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-162344-5
LK accessanesthesiology.mhmedical.com/content.aspx?aid=55870334
RD 2024/04/20
AB A  28-year-old,  previously  healthy  woman  was  thrown  off  an  all  terrain  vehicle  (ATV)  and  sustained  blunt  trauma  to  her  chest.  Her  injuries  included  a  flail  chest  with  fractures  of  the  right  first  and  second  ribs,  a  pulmonary  contusion,  as  well  as  a  right  femur  fracture  and  ruptured  spleen.  Following  a  splenectomy  on  the  first  night,  she  stabilized  hemodynamically  and  subsequently  underwent  an  open  reduction  internal  fixation  of  the  femur.  On  the  10th  day,  she  failed  an  extubation  attempt  due  to  hypoxemia.  Currently  she  is  being  ventilated  with  a  pressure  support  of  12  cm  H2O,  positive  end-expiratory  pressure  (PEEP)  of  5  cm  H2O,  and  FiO2  0.50.  Her  ABG  shows  pH  7.47,  PCO2  37,  PO2  60,  and  HCO3  26  torr.  Her  respiratory  rate  is  20  breaths  per  minute  (bpm).  All  other  vital  signs  are  stable.  You  have  been  consulted  to  help  perform  a  tracheotomy.