Airway management of post burn contracture neck – An anaesthesiologist's challenge

Anesthetic management of post-burn contracture chest with microstomia: Regional nerve blocks to aid in intubation

“…The contractures of the mouth caused a potentially difficult airway in a patient under review by limiting the mouth opening. [ 4 5 ] Although the longitudinal alignment of oral, laryngeal and tracheal axes was still possible, this distortion limited access to the glottis. Difficult airway increased the risk of anesthesia with the possibility of hypoxia and increased morbidity and mortality.…”

“… Inhalational anesthesia with volatile agents Surgical release of contracture with Ketamine as a sole agent or along with tumescent anesthesia[ 6 ] Intubation with help of special airways (William/Berman's airway)[ 4 ] or devices fiberoptic bronchoscope (FOB/LMA)[ 7 ] Video laryngoscope assisted intubation Surgical – cricothyrotomy/tracheostomy. …”

“…Intubation with help of special airways (William/Berman's airway)[ 4 ] or devices fiberoptic bronchoscope (FOB/LMA)[ 7 ]…”

Airway management in patient with retractable scar in neck: a case report

“…The measured length from the lips to the back of the tongue on lateral neck X-ray was used to determine the airway size 19 A similar patient was managed by awake oral fiberoptic intubation aided by Berman's airway that allows the tracheal tube to pass directly through its channel into the glottis. 20 With the supraglottic airway devices, the Intubating Laryngeal Mask Airway-FastrachTM (ILMA) canbe used for ventilation and to facilitate either blind or fiberoptic guided tracheal intubation. In patients with patients with burn contracture of the neck in whomfacemask ventilation is expected to be difficult, the ILMA maybe inserted after topical anesthesia of the upper airway.…”