Airway management of post burn contracture neck – a case report
Keywords:
Post burn Contracture, Fibreoptic Bronchoscope, Difficult Airway
Abstract
The Anaesthetic management of patients with post burn contracture release poses many problems to anaesthesiologist. Airway management in such cases is still challenging to anaesthesiologist as the contracture and deformity due to fibrous tissue resulting in non-alignment of oral, pharyngeal and laryngeal planes, makes laryngoscopy and endotracheal intubation very difficult or impossible and this can result in many life threatening and serious complications. We report the successful airway management of a patient with restricted neck extension and fixed flexion deformity by awake nasal fibreoptic bronchoscope guided nasotracheal intubation.
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References
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4. Agrawal S, Asthana V, Meher R, Singh D K. Paraglossal Straight Blade Intubation Technique-an OldTechnique Revisited in Difficult Intubations: A Series of 5 Cases. Indian J Anaesth [serial online] 2008 [cited 2015 Dec 10];52:317-20.
5. Kreulen M, Mackie DP, Kreis RW, Groenevelt F. Surgical release for intubation purposes in postburncontractures of the neck. Burns. 1996 Jun;22(4):310-2.
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7. Cohn AI, Zornow MH. Awake endotracheal intubation in patients with cervical spine disease: a comparison of the Bullard laryngoscope and the fiberoptic bronchoscope. Anesth Analg. 1995 Dec;81(6):1283-6.
8. Larson SM, Parks DH. Managing the difficult airway in patients with burns of the head and neck. J Burn Care Rehabil. 1988 Jan-Feb;9(1):55-6.
9. Reasoner DK, Warner DS, Todd MM, Hunt SW, Kirchner J. A comparison of anesthetic techniques for awake intubation in neurosurgical patients. J Neurosurg Anesthesiol. 1995 Apr;7(2):94-9.
10. Sidhu VS, Whitehead EM, Ainsworth QP, Smith M, Calder I. A technique of awake fibreoptic intubation. Experience in patients with cervical spine disease. Anaesthesia. 1993 Oct;48(10):910-3.
2. Crosby ET, Cooper RM, Douglas MJ, Doyle DJ, Hung OR, Labrecque P, Muir H, Murphy MF, Preston RP, Rose DK, Roy L. The unanticipated difficult airway with recommendations for management. Can J Anaesth. 1998 Aug;45(8):757-76.
3. S.K. Singh, V. Asthana, Y.S. Payal S. Agarwal, D.K.Singh, N.Srivastava Airway Management in fixed flexion deformity using an alternative method of ILMA insertion. Ind. J Anaesth, 2008;52(4):440-442
4. Agrawal S, Asthana V, Meher R, Singh D K. Paraglossal Straight Blade Intubation Technique-an OldTechnique Revisited in Difficult Intubations: A Series of 5 Cases. Indian J Anaesth [serial online] 2008 [cited 2015 Dec 10];52:317-20.
5. Kreulen M, Mackie DP, Kreis RW, Groenevelt F. Surgical release for intubation purposes in postburncontractures of the neck. Burns. 1996 Jun;22(4):310-2.
6. Bissinger U, Guggenberger H, Lenz G. Retrogradeguided fiberoptic intubation in patients with laryngeal carcinoma. Anesth Analg. 1995 Aug;81(2):408-10.
7. Cohn AI, Zornow MH. Awake endotracheal intubation in patients with cervical spine disease: a comparison of the Bullard laryngoscope and the fiberoptic bronchoscope. Anesth Analg. 1995 Dec;81(6):1283-6.
8. Larson SM, Parks DH. Managing the difficult airway in patients with burns of the head and neck. J Burn Care Rehabil. 1988 Jan-Feb;9(1):55-6.
9. Reasoner DK, Warner DS, Todd MM, Hunt SW, Kirchner J. A comparison of anesthetic techniques for awake intubation in neurosurgical patients. J Neurosurg Anesthesiol. 1995 Apr;7(2):94-9.
10. Sidhu VS, Whitehead EM, Ainsworth QP, Smith M, Calder I. A technique of awake fibreoptic intubation. Experience in patients with cervical spine disease. Anaesthesia. 1993 Oct;48(10):910-3.
CITATION
DOI: 10.17511/ijmrr.2015.i10.229
Published: 2015-11-30
How to Cite
1.
Chethanananda T, B.G S, Aasthaa A, Mahalakshmi M, G.V C. Airway management of post burn contracture neck – a case report. Int J Med Res Rev [Internet]. 2015Nov.30 [cited 2024Dec.22];3(10):1265-8. Available from: https://ijmrr.medresearch.in/index.php/ijmrr/article/view/400
Section
Case Report
OAI - Open Archives Initiative
