Open AccessAnesthetic management of post-burn contracture chest with microstomia: Regional nerve blocks to aid in intubation
Author(s) -
Kalavala Lakshminarayana Subramanyam
Publication year - 2015
Publication title -
journal of anaesthesiology-clinical pharmacology/journal of anaesthesiology clinical pharmacology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.466
H-Index - 32
eISSN - 2231-2730
pISSN - 0970-9185
DOI - 10.4103/0970-9185.155160
Subject(s) - medicine , muscle contracture , contracture , microstomia , anesthesia , airway , infraorbital nerve , intubation , anesthetic , airway management , surgery
This case report exemplifies the anesthetic technique of blocking bilateral infraorbital and mental nerves for release of contractures of mouth. A 30 year old female patient of post-acid burn contractures of chest wall and mouth was scheduled for contracture release and skin grafting. Airway assessment revealed severe restriction of mouth opening with limited restriction of neck movements. Contracture release of mouth conducted by blocking bilateral infraorbital and mental nerves, which facilitated intubation easily. This case report highlights the practical advantage of nerve blocks for release of contracture mouth, in case of anticipated difficult airway, over other conventional methods.