Airway management in a patient with traumatic disfigured facial injury - A case report
Journal Title: International Journal of Research in Pharmacology & Pharmacotherapeutics (IJRPP) - Year 2015, Vol 4, Issue 1
Abstract
Traumatic facial injuries usually presents with extremely disfigured appearances. Managing airway in these patients remain a significant challenge to the Anesthesiologist. A detailed assessment of extent and severity of facial injury and a careful way of formulating a proper airway management plan in the preoperative period will be essential for avoiding any major catastrophe during the Intraoperative and postoperative period. Advanced Trauma Life Support Protocol is utilised in evaluating the trauma patient. Only after securing airway, stabilizing the cervical spine, and restoring hemodynamic stability, the definitive treatment of the maxillofacial injury should be considered. A patent airway in the patient should be established immediately with the help of difficult airway cart. The anaesthetic technique should include rapid induction, maintenance with minimal physiological changes and rapid emergence. In procedures involving inter maxillary fixation, oral intubation is excluded and alternative routes of intubation should be planned. Extubation requires an awake patient, who can maintain his airway and the emergence should be smooth. In this case, we report the airway management of a patient who had de-gloving and disfiguring facial soft tissue injury.
Authors and Affiliations
C. K. Swetha Ramani
Keywords
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