2015
DOI: 10.4172/2155-6148.1000573
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A Case of Severe Head and Neck Post-Burn Contractures: Fiberoptic Intubation through an I-Gel Laryngeal Mask Maintaining Spontaneous Ventilation

Abstract: Airway management in patients with head and neck contractures can be very challenging. Severe facial and neck scars may predict difficult mask ventilation. Difficult intubation should also be expected. We analyzed the airway management in an adolescent with severe post burn head and neck contractures. The challenges during airway approach are discussed and a comprehensive analysis regarding the option for fiberoptic intubation using an I-gel laryngeal mask as a conduit is also performed. Considering the scarce… Show more

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Cited by 1 publication
(2 citation statements)
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“…it is essential that airway assessment is carried out preoperatively to evaluate the degree of difficulty, to plan primary strategy and to prepare alternative options to avoid airway emergency, the "can't intubate, can't ventilate" situation (5).…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…it is essential that airway assessment is carried out preoperatively to evaluate the degree of difficulty, to plan primary strategy and to prepare alternative options to avoid airway emergency, the "can't intubate, can't ventilate" situation (5).…”
Section: Discussionmentioning
confidence: 99%
“…awake intubation is considered the safest option for adult patients with known difficult airway. in contrast to adult anaesthesia, awake fiberoptic tracheal intubation in children is rarely a possibility, leaving the anaesthesiologist no choice but to manage the airway after induction of anaesthesia (4,5). maintenance of spontaneous breathing (avoiding muscular relaxation) until the airway is secured, as well as the use of FFb is suggested as the preferable technique in children with anticipated difficult airways (5,6).…”
Section: Discussionmentioning
confidence: 99%