The Experiences of Airway Management for Anesthesia of Patients with Postburn Mentosternal Contractures: 10 cases report.
10.4097/kjae.2006.50.3.322
- Author:
Chul Ho WOO
1
;
Sung Ha MUN
;
Ji Young BAE
;
In Suk KWAK
;
Hyun Soo KIM
;
Kwang Min KIM
Author Information
1. Department of Anesthesiology and Pain Medicine, Hallym University College of Medicine, Korea. kminilsan@yahoo.co.kr
- Publication Type:Case Report
- Keywords:
difficult intubation;
fiberoptic;
postburn sternomental contractures
- MeSH:
Airway Management*;
Anesthesia*;
Bronchoscopes;
Burns;
Classification;
Contracture*;
Humans;
Intubation, Intratracheal;
Lifting;
Mandible;
Mouth;
Neck
- From:Korean Journal of Anesthesiology
2006;50(3):322-326
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Postburn sternomental contractures (PBSMC) of the neck can cause difficulties in endotracheal intubation when the cervical hyperextension and lifting of the mandible are impaired. Ten patients with a healed burn of the neck were assessed prior to surgery using the modified Mallampati test, and by measuring the sternomental distance, interincisor gap with their mouth fully open, and using Onah's classification system for PBSMC. Difficult endotracheal intubation was predicted. The patients were intubated successfully with a fiberoptic bronchoscope. The fiberoptic bronchoscope was found to be a useful device for managing patients with PBSMC. Moreover, Onah's classification system can be used for assessing postburn contractures.
