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has been cited by the following article:

• TITLE: Anesthetic Management of a Rare Penetrating Traumatic Brain Injury Caused by a Pickaxe: A Case Report

  AUTHORS: Junette Arlette Metogo Mbengono, Ferdinand Ndom Ntock, Joel Noutakdie Tochie, Cassandra Tocko, Gaspary Fodjeu, Mathieu Motah, Gérard Beyiha, Jacqueline Ze Minkande

  KEYWORDS: Traumatic Brain Injury, Penetrating, Pickaxe, Anesthesia

  JOURNAL NAME: Open Journal of Anesthesiology, Vol.9 No.8, August 23, 2019

  ABSTRACT: Penetrating traumatic brain injuries (TBI) are frequent neurosurgical emergencies, associated with a high mortality rate and we almost no previous report on a penetrating pickaxe TBI. Herein, we report and discuss the anesthetic challenges encountered in the surgical extraction of a pickaxe from a patient with TBI. We present the case of a 34-year-old man who presented with a penetrating pickaxe TBI at his left temporal region, signs of raised intracranial pressure and normal vital signs. Anesthetic management began within 3 hours of admission and consisted of general anesthesia and rapid sequence intubation. Surgical extraction of a 14 cm long wing of the pickaxe was achieved with good hemostatic control. His postoperative course was marked by complete blindness of the right eye till one year of follow-up. The authors highlight the need of a prompt multidisciplinary management with close perioperative monitoring of haemostatic control and signs of raised intracranial pressure as key factors for a favourable postoperative outcome.