Anaesthetic Management of Difficult airway and intravenous access due to Post burn contracture.

Journal Title: Journal of Indira Gandhi Institute of Medical Sciences - Year 2016, Vol 2, Issue 1

Abstract

We describe anaesthetic management of 41-year-old female admitted for total abdominal hysterectomy having history of 35% full thickness burn with scar marks over face, neck, both upper limbs whole of anterior abdomen and inguinal region on both sides. Graft was taken from both thigh and right leg which had left scar mark. With burn contractures over neck and involvement of limbs she was difficult to intubate and difficult intravenous access as well. Keeping in view the difficult airway access she was planned for combined spinal epidural anaesthesia. Gaining intravenous access posed a challenge because of burns scars on upper limbs, graft scars on both thigh and right leg. Central venous cannulation was not attempted because of distorted anatomy of neck. Left leg was warmed by wrapping it in towels moistened with warm water to dilate veins and intravenous line secured. Because of pain experienced by patient after an hour of starting surgery general anaesthesia was given and airway secured with i- Gel, which went uneventful.

Authors and Affiliations

Rajnish Kumar, Hasina Quari, Dipti Raj

Keywords

Related Articles

CARCINOMA OF RECTUM IN A 9 YEAR OLD GIRL A RARE CASE REPORT.

ABSTRACT Colorectal cancer generally seen in elderly around 5th-6th decade of life and rarely seen in pediatric age group with an incidence of only 1.3-2 cases per million noticed. Due to the nonspecific symptoms and lac...

Prevalence of osteoporosis in Bihar: A sample study.

Osteoporosis is a silent disease increasing the fracture risk and load on public hospitals. Proper diet and preventive medication can reduce the chances of osteoporosis. Presently we have population data regarding osteop...

APEXIFICATION WITH MTA- CASE REPORT

Mineral Trioxide Aggregate (MTA) due to its superior biocompatibilty and ability to seal the root canal system can be used as an alternative to traditional materials for the repair of root perforations, pulp-capping and...

ACQUIRED VAGINAL STENOSIS WITH SECONDARY INFERTILITY; A RARE COMPLICATION OF TRAUMATIC PPH

Abstract Secondary gynaetresia may occurs due to trauma to the female genital tract with secondary infection and adhesions. Post traumatic vaginal stenosis after full term vaginal delivery is rarely seen in gynaecologica...

Anaesthetic Management of Difficult airway and intravenous access due to Post burn contracture.

We describe anaesthetic management of 41-year-old female admitted for total abdominal hysterectomy having history of 35% full thickness burn with scar marks over face, neck, both upper limbs whole of anterior abdomen and...

Download PDF file
  • EP ID EP288817
  • DOI -
  • Views 78
  • Downloads 0

How To Cite

Rajnish Kumar, Hasina Quari, Dipti Raj (2016). Anaesthetic Management of Difficult airway and intravenous access due to Post burn contracture.. Journal of Indira Gandhi Institute of Medical Sciences, 2(1), 33-35. https://www.europub.co.uk/articles/-A-288817