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Anaesthetic Management of a Spontaneously Ruptured Vertebral Artery Pseudoaneurysm with Dynamic Airway Obstruction

Authors:

C. Y. Abeywardana ,

National Hospital of Sri Lanka, Colombo, LK
About C. Y.
Senior Registrar in Anesthesiology
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M. Fernando,

National Hospital of Sri Lanka, Colombo, LK
About M.
Senior Consultant Anesthetist
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H. A. S. Silva

National Hospital of Sri Lanka, Colombo, LK
About H. A. S.
Registrar in Anesthesiology
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Abstract

Expanding neck hematoma with progressive airway obstruction is a life-threatening airway emergency. Patients are at risk of cranio-cerebral circulation compromise leading to perioperative cerebrovascular accidents. Furthermore, precipitous fall of blood pressure following neck hematoma exploration mandate the activation of protocols for massive transfusion. We describe the successful anaesthetic management of an extremely rare case of spontaneous rupture of a vertebral artery pseudoaneurysm.
How to Cite: Abeywardana, C.Y., Fernando, M. and Silva, H.A.S., 2021. Anaesthetic Management of a Spontaneously Ruptured Vertebral Artery Pseudoaneurysm with Dynamic Airway Obstruction. Sri Lankan Journal of Anaesthesiology, 29(1), pp.71–74. DOI: http://doi.org/10.4038/slja.v29i1.8681
Published on 28 Apr 2021.
Peer Reviewed

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