Anesthetic management for a patient with severe mento-sternal contracture: difficult airway and scarce venous access: A case report.
10.4097/kjae.2013.64.1.61
- Author:
Chong Doo PARK
1
;
Hye Kyoung LEE
;
Ji Yeon YIM
;
Im Hong KANG
Author Information
1. Department of Anesthesiology and Pain Medicine, Dongnam Institute of Radiological and Medical Sciences, Busan, Korea. sunrud@naver.com
- Publication Type:Case Report
- Keywords:
Awake fiberoptic intubation;
Burn contracture;
Video laryngoscope
- MeSH:
Anesthesia, Local;
Burns;
Cicatrix;
Contracture;
Humans;
Intubation;
Laryngoscopes;
Male;
Neck;
Shoulder;
Thorax
- From:Korean Journal of Anesthesiology
2013;64(1):61-64
- CountryRepublic of Korea
- Language:English
-
Abstract:
There are many problems in the anesthetic management of patients with scar contracture. In this case, a 41-year-old male with severe scar contracture on his face, neck, anterior chest, and both shoulders underwent surgery for resurfacing with flaps. We tried to awake fiberoptic orotracheal intubation with GlideScope(R) Video laryngoscope guide after surgical release of contracture under local anesthesia. We report a successful management of a patient with severe burn contracture achieved by combined effort of surgeons and anesthesiologists.
