Airway Management of Penetrating Facial Trauma from an Impaled Screwdriver: A Case Report

Abstract

Airway management of a patient with penetrating facial trauma is often anticipated to be difficult. However, due to the variation in presentation of penetrating facial trauma, there are no consensus guidelines established for securing the airway. We present a case of penetrating facial trauma with an impaled screwdriver, describe the anatomical significance of the embedded foreign object, and suggest an approach to airway management. Ultimately, a skilled provider must use his or her clinical judgement and have a clear understanding of anatomy to best approach these unique scenarios.He was then premedicated with midazolam and fentanyl prior to any intubation attempts. The oropharynx was gently suctioned, and 4% lidocaine hurricane spray was administered. Because of the anticipated difficult airway, an awake fiberoptic intubation was Volume 3 -Issue 5 Copyrights @ Suman Rajagopalan, et al. Glob J Anes & Pain Med