Korean J Anesthesiol.  2013 Jan;64(1):61-64. 10.4097/kjae.2013.64.1.61.

Anesthetic management for a patient with severe mento-sternal contracture: difficult airway and scarce venous access: A case report

• Park CD
• Lee HK
• Yim JY
• Kang IH

• KMID: 2236236
• DOI: http://doi.org/10.4097/kjae.2013.64.1.61

Abstract

There are many problems in the anesthetic management of patients with scar contracture. In this case, a 41-year-old male with severe scar contracture on his face, neck, anterior chest, and both shoulders underwent surgery for resurfacing with flaps. We tried to awake fiberoptic orotracheal intubation with GlideScope(R) Video laryngoscope guide after surgical release of contracture under local anesthesia. We report a successful management of a patient with severe burn contracture achieved by combined effort of surgeons and anesthesiologists.

Keyword

Awake fiberoptic intubation; Burn contracture; Video laryngoscope

MeSH Terms

Anesthesia, Local
Burns
Cicatrix
Contracture
Humans
Intubation
Laryngoscopes
Male
Neck
Shoulder
Thorax