Volume : VIII, Issue : I, January - 2019

Airway management in extensive facial burns- A case report

Dr Rathna Paramaswamy, Dr Shakir R. T

Abstract :

Anesthetic management of burns of the head, neck, face and upper airway needs special precautions as establishing the airway provides challenges to the anesthesiologist. A 27 year old female presented with acute second degree thermal burns of the head, neck, face, shoulders and was posted for emergency escharotomy and dressing. Her scalp hair was singed, nasal mucosa was burnt and her whole face and neck were burnt with huge blisters and raw areas over the chest, shoulders and both upper limbs. Intravenous line was established through the right femoral vein and she was resuscitated with ringer lactate. Holding the face mask was impossible in view of her facial burns. Awake oro tracheal intubation was done by fiber optic onchoscopy guidance and airway was established successfully. Anesthesia was maintained by titrated doses of opioids, non-depolarising muscle relaxants and inhalational agents. She recovered well and was extubated awake. Hence awake fiber optic onchoscope guided intubation can be done to establish the airway in extensive head, neck, face and upper airway burns.

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Article: Download PDF    DOI : https://www.doi.org/10.36106/gjra  

Cite This Article:

AIRWAY MANAGEMENT IN EXTENSIVE FACIAL BURNS- A CASE REPORT, Dr Rathna Paramaswamy, Dr Shakir R.T GLOBAL JOURNAL FOR RESEARCH ANALYSIS : Volume-8 | Issue-1 | January-2019

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