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Anaesthetic Implications of Post Burn Contracture Neck


Affiliations
1 MVJ Medical College and Research Hospital, Hosakote, India

Post burn contracture of anterior part of neck and face poses a challenge to anaesthesiologist because of difficulty in intubation of such patients because of limited cervical extension and microstomia due to facial burns.Here we are describing a case of post burn contracture posted for release in whom successfully employed direct laryngoscopy using McCoy blade when fibreoptic bronchoscopy failed.


Keywords

Post Burn Contracture, Difficult Intubation, Tracheostomy, Vecuronium
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  • Park, C.D., Lee, H.K., Yim, J.Y., Kang, I.H. Anesthetic management for a patient with severe mentosternal contracture: difficult airway and scarce venous access – a case report. Korean J Anesthesiol. 2013; 64:61–64.
  • Al-Zacko, S.M., Al-Kazzaz, D.A. Initial release of severe post-burn contracture scar of the neck for intubation under ketamine. Ann Burns Fire Disasters. 2009; 22:196–199.

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  • Anaesthetic Implications of Post Burn Contracture Neck

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Authors

Shobha Gangadharrao Potdar
MVJ Medical College and Research Hospital, Hosakote, India
Prasad Kulkarni
MVJ Medical College and Research Hospital, Hosakote, India
P. Somashekaram
MVJ Medical College and Research Hospital, Hosakote, India

Abstract


Post burn contracture of anterior part of neck and face poses a challenge to anaesthesiologist because of difficulty in intubation of such patients because of limited cervical extension and microstomia due to facial burns.Here we are describing a case of post burn contracture posted for release in whom successfully employed direct laryngoscopy using McCoy blade when fibreoptic bronchoscopy failed.


Keywords


Post Burn Contracture, Difficult Intubation, Tracheostomy, Vecuronium

References





DOI: https://doi.org/10.18311/isacon-Karnataka%2F2017%2FEP003