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In hemodynamically unstable patients who cannot tolerate posterolateral approaches, the anterior midline sternotomy approach to the airway should be considered. We demonstrate that this approach can provide adequate access for decompression of tension physiology and repair of airway injury.<\/jats:p>","DOI":"10.1177\/14604086231189340","type":"journal-article","created":{"date-parts":[[2023,11,10]],"date-time":"2023-11-10T02:17:51Z","timestamp":1699582671000},"page":"185-189","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Penetrating firearm tracheal injury with cardiac arrest due to tension pneumopericardium"],"prefix":"10.1177","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4841-1314","authenticated-orcid":false,"given":"Takshaka","family":"Patel","sequence":"first","affiliation":[{"name":"Department of Surgery, Temple University Hospital, Philadelphia, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deirdre","family":"Dulak","sequence":"additional","affiliation":[{"name":"Department of Surgery, Temple University Hospital, Philadelphia, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lars Ola","family":"Sjoholm","sequence":"additional","affiliation":[{"name":"Department of Surgery, Temple University Hospital, Philadelphia, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roman","family":"Petrov","sequence":"additional","affiliation":[{"name":"Department of Thoracic Medicine and Surgery, Temple University Hospital, Philadelphia, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,11,9]]},"reference":[{"key":"bibr1-14604086231189340","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2006.09.002"},{"key":"bibr2-14604086231189340","first-page":"671","volume":"90","author":"Richardson J","year":"1981","journal-title":"Surgery"},{"key":"bibr3-14604086231189340","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)37302-7"},{"key":"bibr4-14604086231189340","first-page":"28","volume":"12","author":"Bocca X","year":"2005","journal-title":"J Bronchol Interv Pulmonol"},{"key":"bibr5-14604086231189340","author":"Dayal S","journal-title":"Ann Thorac Surg"},{"key":"bibr6-14604086231189340","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-200210000-00003"},{"key":"bibr7-14604086231189340","doi-asserted-by":"publisher","DOI":"10.1177\/000313481808401219"},{"key":"bibr8-14604086231189340","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-013-1961-5"},{"key":"bibr9-14604086231189340","doi-asserted-by":"publisher","DOI":"10.1016\/S1522-2942(07)70090-9"},{"key":"bibr10-14604086231189340","doi-asserted-by":"publisher","DOI":"10.21037\/shc.2018.10.03"},{"key":"bibr11-14604086231189340","doi-asserted-by":"publisher","DOI":"10.21037\/tlcr-21-749"}],"container-title":["Trauma"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/14604086231189340","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/14604086231189340","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/14604086231189340","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T05:09:29Z","timestamp":1777698569000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/14604086231189340"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,11,9]]},"references-count":11,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2024,4]]}},"alternative-id":["10.1177\/14604086231189340"],"URL":"https:\/\/doi.org\/10.1177\/14604086231189340","relation":{},"ISSN":["1460-4086","1477-0350"],"issn-type":[{"value":"1460-4086","type":"print"},{"value":"1477-0350","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,11,9]]}}}