اداره راه هوایی در بیمار مبتلا به سوختگی صورت

Case report: Severe burn injuries are associated with significant pathologic changes in nearly all of organ systems, among them are facial and airway injuries. Thus, one of the important points is airway management in head and facial burn injuries which lead to difficult or impossible tracheal intubation in these patients. In this study we introduce a 37 year-old man, who was burned with electricity and had contracture injuries in his face, hands, and circumorally. He was candidate for reconstructive lid surgery 84 days post-burn. Because of severe restriction in the mouth opening we intubated him Trans nasally with preservation of spontaneous breathing. In circumoral post burn injuries with restriction in mouth opening, it seems reasonable to intubate trachea with preservation of spontaneous breathing and extreme caution when using drugs especially when flexible fiberoptic bronchoscope is not available. In these situations, nasal tracheal intubation with head and neck movement by Glidescope could be useful as an alternative.