Skip to main content

Case 58: A Sprinkler Spike Lodged in a Patient’s Head

  • Chapter
  • First Online:
Near Misses in Pediatric Anesthesia

Abstract

A 6-year-old boy is admitted to a university medical center emergency room. He has fallen on his head and a metal sprinkler spike has penetrated his skull. The spike enters the head at an angle in the left temporal region, just above his ear. The length of the spike is 6–8 in. It is sticking straight back extending from his occipital region by at least 2 in. The computed tomography (CT) scan shows the spike is about 1 in. inside the brain. The child is lying on his right side, as the spike prevents him from lying flat or on his left side.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 16.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Rafique MB, Nesselrode R, De Armendi AJ. Difficult airway due to sprinkler spike in the head. Pediatr Anesth. 2008;18:891–2.

    Article  Google Scholar 

  2. Buley RJR, Downing JW, Brock-Utne JG, Cuerden C. Right versus left lateral tilt for Caesarean section. Br J Anaesth. 1977;49:1009–14.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 2013 Springer Science+Business Media New York

About this chapter

Cite this chapter

Brock-Utne, J.G. (2013). Case 58: A Sprinkler Spike Lodged in a Patient’s Head. In: Near Misses in Pediatric Anesthesia. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-7040-3_58

Download citation

  • DOI: https://doi.org/10.1007/978-1-4614-7040-3_58

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-7039-7

  • Online ISBN: 978-1-4614-7040-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics