Neurovascular injury
Neurovascular injury
Penetrating wounds of the neck may involve the common - carotid or the external or internal carotid arteries. Major haemorrhagic shock may occur. V enous air embolism may occur because of damage to one of the major veins, most commonly the internal jugular. Compression, resuscitation and exploration under general anaesthetic, with control of vessels above and below the injury and primary repair, should be undertaken. All cervical nerves are vulnerable to injury , particularly the vagus and recurrent laryngeal nerves and cervical sympathetic chain. Neurovascular injury
Penetrating wounds of the neck may involve the common - carotid or the external or internal carotid arteries. Major haemorrhagic shock may occur. V enous air embolism may occur because of damage to one of the major veins, most commonly the internal jugular. Compression, resuscitation and exploration under general anaesthetic, with control of vessels above and below the injury and primary repair, should be undertaken. All cervical nerves are vulnerable to injury , particularly the vagus and recurrent laryngeal nerves and cervical sympathetic chain.
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