The Inception of the "Two Trolley Technique" for Supine Positioning in a Patient With Penetrating Injury to the Back

Penetrating trauma to the back causes the anesthesiologist many difficulties in airway management and obtaining central lines due to the inability to position supine. Lateral position intubation for the same has been described earlier but still remains unfamiliar. Here, we describe the case of a sta...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2022-04, Vol.14 (4), p.e24020
Main Authors: Karthik, Asish, Ps, Shijin, Kaur, Prabhleen, Sara Varghese, Rini, Ch, Aiswarya
Format: Article
Language:English
Subjects:
Airway management
Anesthesia
Anesthesiology
Back
Cardiac/Thoracic/Vascular Surgery
Case reports
Injuries
Intubation
Ostomy
Patient positioning
Surgery
Trauma
Venous access
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Summary:Penetrating trauma to the back causes the anesthesiologist many difficulties in airway management and obtaining central lines due to the inability to position supine. Lateral position intubation for the same has been described earlier but still remains unfamiliar. Here, we describe the case of a stab injury to the back and how we achieved the optimal supine position using the "Two Trolley Technique."
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.24020