Anaesthetic Management of Difficult airway and intravenous access due to Post burn contracture.
Journal Title: Journal of Indira Gandhi Institute of Medical Sciences - Year 2016, Vol 2, Issue 1
Abstract
We describe anaesthetic management of 41-year-old female admitted for total abdominal hysterectomy having history of 35% full thickness burn with scar marks over face, neck, both upper limbs whole of anterior abdomen and inguinal region on both sides. Graft was taken from both thigh and right leg which had left scar mark. With burn contractures over neck and involvement of limbs she was difficult to intubate and difficult intravenous access as well. Keeping in view the difficult airway access she was planned for combined spinal epidural anaesthesia. Gaining intravenous access posed a challenge because of burns scars on upper limbs, graft scars on both thigh and right leg. Central venous cannulation was not attempted because of distorted anatomy of neck. Left leg was warmed by wrapping it in towels moistened with warm water to dilate veins and intravenous line secured. Because of pain experienced by patient after an hour of starting surgery general anaesthesia was given and airway secured with i- Gel, which went uneventful.
Authors and Affiliations
Rajnish Kumar, Hasina Quari, Dipti Raj
Keywords
Related Articles
- EP ID EP288817
- DOI -
- Views 59
- Downloads 0
OVARIAN CYST WITH TORSION DURING PREGNANCY – A CASE REPORT
Abstract Adenexal torsion is partial or complete rotation of adenexa around its pedicle. Ovarian torsion occurs predominately in the reproductive age group. Diagnosis is based on the clinical and the radiological findin...
Eosinophilic granuloma of the skull in an adolescent male: A case report
Eosinophilic granuloma is a variety of histiocytosis-X with unknown etiology. Eosinophilic granuloma is very rare benign bone tumor which presents in more than 90 % in children under the age of ten years. There is predo...
The prevalence of oral cancer in patients consuming tobacco products: A dental OPD based retrospective study at IGIMS, Patna, Bihar
Abstract: Introduction: Oral cancer is the one of the most prevalent disease in Bihar. The main reason of oral cancer is the use of tobacco and tobacco related products. Seventy-five percent of all head and neck canc...
Asymptomatic sinus bradycardia in geriatric patients: Case Report
Asymptomatic sinus bradycardia is most often encountered during preanaesthetic evaluation of geriatric group of patients as a result of degenerative changes of heart conducting tissues by process of ageing. Here we are p...
Aggressive giant cell reparative granuloma of maxilla: A rare case report
The giant cell reparative granulomas are non- neoplastic reactive lesions, usually triggered by trauma. They commonly present as slow growing lesions of the jaw, the rapidly progressing aggressive lesions have rarely bee...