Anesthetic Challenges and Management of Maxillofacial Trauma
Journal Title: Journal of Anesthesia and Surgery - Year 2017, Vol 4, Issue 2
Abstract
Management of Maxillofacial trauma is a challenging task for an anaesthesiologist It requires a prompt and skillful response from the anaesthesia team Bilateral parasymphsial fracture condylar fracture fracture of zygoma flattening of face moderate bleeding and derranged occlusion are the main cautionary pointers of difficult airway Emergency airway management should be done by a team led by an anaesthesiologist A difficult airway cart along with resuscitation trolley should be ready Plan A should be direct laryngoscopy and manual in line stabilization Video laryngoscope if available should be preferred Plan B must include fiberoptic optical and lighted stylets and airway rescue supraglottic devices Surgical access should be used as backup plan C Elective management for definitive surgery should be based on specific maxillofacial trauma surgical approach associated inflammation and need of prolonged mechanical ventilation in postoperative period
Authors and Affiliations
Babita Gupta
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