Indian Journal of Clinical Anaesthesia


“Anaesthetic Management of Faciomaxillary Injury – A Retrospective Study”


Full Text PDF Share on Facebook Share on Twitter


Author Details: Seema Partani, Rakesh Kushwaha, Rajnindra Sharma

Volume : 3

Issue : 2

Online ISSN : 2394-4994

Print ISSN : 2394-4781

Article First Page : 283

Article End Page : 286


Abstract

In this era of modern scientific advancement where automobile industries are reaching new heights and roads are jammed-up with all types of vehicles; accidents form a bulk of cases admitted to trauma ward. Majority of these cases have fascio-maxillary injuries where a proper airway assessment is the most important part of treatment.
In this content a retrospective study was done analyzing the case records of sixty patient with fascio-maxillary injuries admitted to our institute over a period of six months. The aim of this study was to find out the difficulties found during management. Majority of patients were in age group of 20-30 yrs and ten patients had some degree of airway compromised and five had associated head injuries. Out of these ten compromised airway, five were managed with change of position, oral suction & use of oropharyngeal airway; while four needed endotracheal intubation in casualty (Fig. 1) and only one required tracheostomy in casualty. 20 patients were intubated via nasal route. Blood transfusion was done for three patients.

Keywords:
Maxillofacial injuries, Nasal intubation, Tracheostomy, Retromolar intubation, Difficult airway, Anaesthetic management, Rapid sequence intubation, Awake intubation