Extensive facial burns: A case for awake fiberoptic intubation
Abstract
Mask ventilation is the most basic step in airway management. There are certain situations where mask ventilation is difficult,1 but sometimes it may be really impossible as in this 30 year male patient with facial burns. He suffered from burns one and a half month back due to episode of seizure. Burns were present over face, neck, chest and shoulders. On examination, mouth opening was less than one cm. Teeth were loose. Neck movements were restricted. Left nares was only partially patent. Respiratory and cardiovascular systems were unremarkable. Relevant laboratory investigations were within normal limits. Mask ventilation was not feasible. So awake nasal fiberoptic intubation was planned.2,3 The procedure was explained to the patient and consent was taken for the same. He was given alprazolam 0.25 mg and ranitidine 150 mg at night and 2 h before surgery.
