Anesthetic management for a patient with severe mento-sternal contracture: difficult airway and scarce venous access -A case report-.
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® 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.
Department of Anesthesiology and Pain Medicine, Dongnam Institute of Radiological and Medical Sciences, Busan, Korea.
Chong-Doo
CD
Park
Hye-Kyoung
HK
Lee
Ji-Yeon
JY
Yim
Im-Hong
IH
Kang
Awake fiberoptic intubation; Burn contracture; Video laryngoscope