Intraoperative Difficult Airway Management in Patient with Pan Facial Fracture Using Airway Manoeuvre Involving Fiberoptic Intubation and Submental Intubation
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Abstract
Intraoperative Airway management of Pan facial fracture is always challenging due to difficult airway resulting from airway trauma and airway sharing between the anesthesiologist and maxillofacial surgeon. Submental intubation is considered a good alternative technique over tracheostomy for providing a clear field intraoperatively for maxillofacial fracture fixation. We want to discuss airway management maneuvers using Awake fiberoptic bronchoscope-assisted intubation and submental intubation technique and the challenges we faced in a patient presented with Pan- facial fracture with difficult airway posted for surgery.
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[2] Kellman RM, Losquadro WD. Comprehensive airway management of patients with maxillofacial trauma. Craniomaxillofac Trauma Reconstr. 2008; 1(1):39-47.
[3] Hernández AF. The submental route for endotracheal intubation. A New Technique J Maxillofac Surg. 1986; 14(1):64–5.
[4] Das S, Das TP, Ghosh PS. Submental intubation: A journey over the last 25 years. J Anaesthesiol Clin Pharmacol. 2012; 28(3):291-303.
[5] Hall CE, Shutt LE. Nasotracheal intubation for head and neck surgery. Anaesthesia. 2003; 58(3):249-56.
[6] Arrowsmith JE, Robertshaw HJ, Boyd JD. Nasotracheal intubation in the presence of frontobasal skull fracture. Can J Anaesth. 1998; 45(1):71-5.
[7] Mehta AK, Chamyal PC. Tracheostomy Complications and their Management. Med J Armed Forces India. 1999; 55(3):197-200.
[8] De Toledo GL, Bueno SC, Mesquita RA, Amaral MB. Complications from submental endotracheal intubation: a prospective study and literature review. Dent Traumatol. 2013; 29(3):197-202.
[9] Jung I, Yoo BH, Ju JY, Choi S, Yon JH, Kim KM, et al. Novel alternative for submental intubation - A case report. Anesth Pain Med (Seoul). 2020; 15(2):247-250.
[10] Green JD, Moore UJ. A modification of sub-mental intubation. Br J Anaesth. 1996; 77(6):789-91.
[11] Krausz AA, El-Naaj IA, Barak M. Maxillofacial trauma patient: coping with the difficult airway. World Journal of Emergency Surgery: WJES. 2009; 4:21.
[2] Kellman RM, Losquadro WD. Comprehensive airway management of patients with maxillofacial trauma. Craniomaxillofac Trauma Reconstr. 2008; 1(1):39-47.
[3] Hernández AF. The submental route for endotracheal intubation. A New Technique J Maxillofac Surg. 1986; 14(1):64–5.
[4] Das S, Das TP, Ghosh PS. Submental intubation: A journey over the last 25 years. J Anaesthesiol Clin Pharmacol. 2012; 28(3):291-303.
[5] Hall CE, Shutt LE. Nasotracheal intubation for head and neck surgery. Anaesthesia. 2003; 58(3):249-56.
[6] Arrowsmith JE, Robertshaw HJ, Boyd JD. Nasotracheal intubation in the presence of frontobasal skull fracture. Can J Anaesth. 1998; 45(1):71-5.
[7] Mehta AK, Chamyal PC. Tracheostomy Complications and their Management. Med J Armed Forces India. 1999; 55(3):197-200.
[8] De Toledo GL, Bueno SC, Mesquita RA, Amaral MB. Complications from submental endotracheal intubation: a prospective study and literature review. Dent Traumatol. 2013; 29(3):197-202.
[9] Jung I, Yoo BH, Ju JY, Choi S, Yon JH, Kim KM, et al. Novel alternative for submental intubation - A case report. Anesth Pain Med (Seoul). 2020; 15(2):247-250.
[10] Green JD, Moore UJ. A modification of sub-mental intubation. Br J Anaesth. 1996; 77(6):789-91.
[11] Krausz AA, El-Naaj IA, Barak M. Maxillofacial trauma patient: coping with the difficult airway. World Journal of Emergency Surgery: WJES. 2009; 4:21.
| Files | ||
| Issue | Vol 10 No Supp. 2 (2024): Supplement 2 |
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| Section | Case Report(s) | |
| DOI | https://doi.org/10.18502/aacc.v10is2.17227 | |
| Keywords | ||
| Submental intubation Awake fiberoptic Panfacial fracture | ||
| Rights and permissions | |
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Mehta S, Saundattikar G, Valake K, Kandukwar S. Intraoperative Difficult Airway Management in Patient with Pan Facial Fracture Using Airway Manoeuvre Involving Fiberoptic Intubation and Submental Intubation. Arch Anesth & Crit Care. 2024;10(Supp. 2):634-637.
