Awake fibreoptic intubation in the semi-prone position following facial trauma

Anaesthesia
M R NealI R Gell

Abstract

A fit 27-year-old man presented with severe facial trauma following an industrial accident. Initial assessment showed severe swelling around the lower jaw and haemorrhage from the mouth, nose, scalp and left ear. The patient was conscious with a Glasgow Coma Score of 13 but in respiratory distress. Following adoption of the prone position his airway improved. Relief of the patient's airway obstruction was a priority and the patient underwent awake fibreoptic intubation in the prone position prior to induction of anaesthesia. Computed tomography scans of his head and neck were unremarkable and after fixation of a bilateral mandibular fracture he made an uneventful recovery. Intubation in the semi-prone position may be a useful technique in injuries of this type.

References

Apr 1, 1990·Annals of Emergency Medicine·E J MlinekE Ruiz
Aug 1, 1985·The British Journal of Oral & Maxillofacial Surgery·K W Hemmings
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Citations

Jun 29, 2002·Journal of Clinical Anesthesia·Jeffrey Jianhong HuangKeith Brandt
Jul 12, 2003·The Journal of Trauma·C Michael DunhamUNKNOWN EAST Practice Management Guidelines Work Group
Aug 25, 2007·Anesthesia and Analgesia·David C KramerArthur Jenkins
Jan 23, 2015·A & a Case Reports·Dennis ThielMatthew Wecksell
Sep 26, 2014·Current Opinion in Anaesthesiology·Louise Ellard, David T Wong
Sep 12, 2013·Oral and Maxillofacial Surgery Clinics of North America·Chad G Robertson, Jean Charles Doucet
Jun 19, 2007·Journal of Clinical Anesthesia·Sanjay AgrawalManu Rajan
Apr 3, 2007·Anesthesiology Clinics·Edgar J PierreMicha Y Shamir
Dec 14, 2004·Journal of Clinical Anesthesia·Jacob RaphaelYaacov Gozal
Nov 21, 1998·Nature·M Raff
Jan 24, 2008·British Journal of Anaesthesia·H EdgcombeS Yarrow

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