Airway management following facial burn injury

Haddadi, Soudabeh; Parvizi, Arman; Fadaee Naiini, Alireza

Volume 6, Issue 3 (10-2015) JAP 2015, 6(3): 83-88 | Back to browse issues page

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Haddadi S, Parvizi A, Fadaee Naiini A. Airway management following facial burn injury. JAP 2015; 6 (3) :83-88
URL: http://jap.iums.ac.ir/article-1-5228-en.html

Airway management following facial burn injury

Soudabeh Haddadi

¹, Arman Parvizi²

, Alireza Fadaee Naiini²

1- Guilan University of Medical Sciences, Rasht, Iran. , So_haddadi@yahoo.com
2- Guilan University of Medical Sciences, Rasht, Iran.

Abstract: (5661 Views)

Case report: Severe burn injuries are associated with significant pathologic changes in nearly all of organ systems, among them are facial and airway injuries. Thus, one of the important points is airway management in head and facial burn injuries which lead to difficult or impossible tracheal intubation in these patients. In this study we introduce a 37 year-old man, who was burned with electricity and had contracture injuries in his face, hands, and circumorally. He was candidate for reconstructive lid surgery 84 days post-burn. Because of severe restriction in the mouth opening we intubated him Trans nasally with preservation of spontaneous breathing. In circumoral post burn injuries with restriction in mouth opening, it seems reasonable to intubate trachea with preservation of spontaneous breathing and extreme caution when using drugs especially when flexible fiberoptic bronchoscope is not available. In these situations, nasal tracheal intubation with head and neck movement by Glidescope could be useful as an alternative.

Keywords: airway, burning, tracheal intubation

Full-Text [PDF 328 kb] (6960 Downloads)

Type of Study: case report | Subject: Airway management
Received: 2015.06.30 | Accepted: 2015.07.29 | Published: 2015.09.21