Features of Anesthetic Management of Patients with Severe Cervical Contracture with Shortness of Breath
Keywords:
Breath, Patients, Management
Abstract
During intubation, airway management is difficult for the anesthesiologist due to rigid flexion deformation that results in misalignment of the oral, pharyngeal, and laryngeal planes. Ovassiapian fiberoptic intubation can be a canal for the airway, Williams airway intubator, and Berman’s oropharyngeal airway bronchoscope. We provide successful anesthetic treatment to a patient with nasal obstruction, microstomy, and severely limited neck enlargement due to extensive keloid scars by consciously performing oral fiber optic intubation using Berman airways.
References
1. Sahajanandhan R, Saravanan PA, Ponniah M, Jacob JI, Gupta AK, Nambi GI. Post burn contracture neck with extreme microstomia and fibrosed obliterated nose – a unique airway challenge! J Anaesth Clin Pharmacol 2010;26(2):267–9.
2. Singh SK, Asthana V, Payal YS, Agrawal S, Singh DK, Srivastava N. Airway management in fixed flexion deformity using an alternative method of ILMA insertion. Ind J Anaesth 2008;52(4):440–2.
3. Belba M, Belba G. Spread of burn and non-burn pathologies, anaesthetic support and some management data. Ann Burns Fire Dis 2007;20(3):140–3.
4. Gupta P, Talwar V, Verma S, Mahajan S, Gogia AR. Modified mouth prop for orotracheal fibreoptic intubation. J Anaesth Clin Pharmacol 2006;22(1):65–7.
5. Agrawal S, Asthana V, Chopra G, Sharma J, Saxena A, Ranjan M. Alternative technique Of ILMA insertion in a case of post burn neck contracture release. Internet J Anesthesiol 2006;10(2).
6. Ma´ rquez XG, Ma´ rquez AE. The bullard laryngoscope as an alternative in difficult airway management. A review. Difficult Airway 2002;(3)1:8–14.
7. Mallampati SR. Clinical sign to predict difficult tracheal intubation (hypothesis). Can J Anaesth 1983;30:316.
8. Greenland KB, Irwin MG. The Williams Airway Intubator, the Ovassapian Airway and the Berman Airway as upper airway conduits for fibreoptic bronchoscopy in patients with difficult airways. Curr Opin Anaesthesiol 2004;17(6):505–10.
9. Xue FS, Yang QY, Liao X. Topical anaesthesia of the airway using Trachlight and MADgic atomizer in patients with predicted difficult tracheal intubation. Br J Anaesth 2007;99(6):920–1.
10. Peter Biro P, Priebe HJ. Staged extubation strategy: is an airway exchangecatheter the answer? Anesth Analg 2007;105(5):1182–5.
2. Singh SK, Asthana V, Payal YS, Agrawal S, Singh DK, Srivastava N. Airway management in fixed flexion deformity using an alternative method of ILMA insertion. Ind J Anaesth 2008;52(4):440–2.
3. Belba M, Belba G. Spread of burn and non-burn pathologies, anaesthetic support and some management data. Ann Burns Fire Dis 2007;20(3):140–3.
4. Gupta P, Talwar V, Verma S, Mahajan S, Gogia AR. Modified mouth prop for orotracheal fibreoptic intubation. J Anaesth Clin Pharmacol 2006;22(1):65–7.
5. Agrawal S, Asthana V, Chopra G, Sharma J, Saxena A, Ranjan M. Alternative technique Of ILMA insertion in a case of post burn neck contracture release. Internet J Anesthesiol 2006;10(2).
6. Ma´ rquez XG, Ma´ rquez AE. The bullard laryngoscope as an alternative in difficult airway management. A review. Difficult Airway 2002;(3)1:8–14
7. Mallampati SR. Clinical sign to predict difficult tracheal intubation (hypothesis). Can J Anaesth 1983;30:316.
8. Greenland KB, Irwin MG. The Williams Airway Intubator, the Ovassapian Airway and the Berman Airway as upper airway conduits for fibreoptic bronchoscopy in patients with difficult airways. Curr Opin Anaesthesiol 2004;17(6):505–10.
9. Xue FS, Yang QY, Liao X. Topical anaesthesia of the airway using Trachlight and MADgic atomizer in patients with predicted difficult tracheal intubation. Br J Anaesth 2007;99(6):920–1.
10. Peter Biro P, Priebe HJ. Staged extubation strategy: is an airway exchangecatheter the answer? Anesth Analg 2007;105(5):1182–5.
Published
2022-01-17
How to Cite
A, S. M. (2022). Features of Anesthetic Management of Patients with Severe Cervical Contracture with Shortness of Breath. Central Asian Journal of Medical and Natural Science, 3(1), 16-20. https://doi.org/10.17605/cajmns.v3i1.544
Section
Articles
