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    Laryngeal Transection in a Patient after Hanging
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    Abstract:
    Introduction:Hanging has become the second most common method of attempted suicide among adolescents and hanging injuries are associated with a high overall mortality rate. 1 Laryngeal injuries were observed in 35% to 45% of victims of hanging at autopsy. 2 Case presentation: We present a 40-year-old male patient presenting after hanging.On presentation, he was alert with glasgow coma scale (GCS) 15/15 and self-ventilating, but was aphonic with quadriplegia.He suffered from complete upper laryngeal transection.He was successfully intubated in accident & emergency department (A&E), but eventually had tracheostomy with subsequent laryngeal repair.He was immediately transferred to neuro rehabilitation centre.Conclusion: Airway injuries after hanging can be quite difficult to manage.][5]
    Seperti pada dewasa, teknik regional anestesi pada pediatrik kini makin popular digunakan oleh ahli anestesikarena keuntungannya. Namun demikian selalu ada risiko dan kemungkinan timbulnya komplikasi dari setiap tindakan yang dilakukan, termasuk tindakan anestesi regional pada pediatrik. Insidensi komplikasi anestesi regional pada pediatrik tidak banyak, dan kalaupun terjadi komplikasi adalah minor. Komplikasi bisa diakibatkan dari identifikasi ruang saraf, alat, obat, teknis tindakan anestesi regionalnya dan komplikasi lainnya.Walaupun tidak banyak kejadian komplikasi regional anestesi yang dilaporkan pada pediatrik, dan bukanlah komplikasi yang fatal, teknik regional anestesi pada pediatrik harus dilakukan dengan lebih hatihati, pertimbangan risiko dan keuntungannya untuk menghindari terjadinya komplikasi, terlebih karena kebanyakan komplikasi dapat dihindari dengan mempelajari teknik yang benar, menggunakan peralatan yang sesuai, dan sangat menerapkan prinsip keamanan pada pasien dengan baik.
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