Anesthetic Challenges and Management of Maxillofacial Trauma
Sweta Singh, Shailendra Kumar, Kaushal Kumar, Babita Gupta*
Affiliation
Department of Anesthesiology and Intensive Care, JPNATC, All India Institute of Medical Sciences, New Delhi, India
Corresponding Author
Babita Gupta, Department of Anesthesiology and Intensive Care, JPNATC, All India Institute of Medical Sciences, New Delhi, Inida, Tel: 09-9868397815; E-mail: drbabitagupta@hotmail.com
Citation
Gupta, B., et al. Anesthetic Challenges and Management of Maxillofacial Trauma. (2017) J Anesth Surg 4(2): 134- 140.
Copy rights
© 2017 Gupta, B. This is an Open access article distributed under the terms of Creative Commons Attribution 4.0 International License.
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.